Neeraja Charagundla Mattay, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101047432 Issued in VA

Practice address

13880 Braddock Rd
301
Centreville, VA 20121-2459

Phone

(703) 222-2773

Fax

(703) 222-6093

NPI assigned

Jun 24, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Dermatology

Education

Virginia Commonwealth University, School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Derm Associates LLCGroup PAC ID 4688653306, 44 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Derm Associates LLC

  • Dermatology Physician
  • Silver Spring, MD
  • NPI 1649271354

  DC, VA

  Medicare reassignment Care Compare group NPD
• Dermatology Associates of Northern Virginia

  • Preferred Provider Organization
  • Chantilly, VA
  • NPI 1255791448
  NPD (past)
• Elizabeth Mitchell Dugan MD LLC

  • Specialist
  • Silver Spring, MD
  • NPI 1588869226
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1891721502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 WOODHURST BLVD",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221022233",
            "telephone_number": "703-748-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13880 BRADDOCK RD",
            "address_2": "301",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212459",
            "telephone_number": "703-222-2773",
            "fax_number": "703-222-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTAY",
        "first_name": "NEERAJA",
        "middle_name": "CHARAGUNDLA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101047432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Han Massey
• Jayme Mathews
• Isabel Matias-Levy
• Valerie Leigh Matson, RBT
• Toshiki Matsui, D.D.S
• Eric Mbualungu
• Barbra Jill McCabe, MD
• Judith McCall-Rosenfeld
• Andrea Beth McCormack, LPC
• Erin Burlovich McDonald, PT, DPT, OCS

• Specialist in Centreville, VA
• Providers in Centreville, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.