Individual provider Active NPI

Gloria Duda, M.D.

  • Plastic Surgery Physician
  • MC Lean, VA
National Provider Identifier
1891774386
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
0101039385 Issued in VA
Practice address
6845 Elm St
#708
MC Lean, VA 22101-6007
Phone
(703) 893-1111
Fax
(703) 760-9565
NPI assigned
Jan 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 0101039385 VA Primary

Addresses

Primary practice location

6845 Elm St
#708
MC Lean, VA 22101-6007

Mailing address

6845 Elm St
#708
MC Lean, VA 22101-6007
Phone (703) 893-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2026 through Jul 1, 2028

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Miami, LM Miller School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6845 Elm St
MC Lean, VA 22101-3851

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy11
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101039385VAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gloria Duda, M.D., P.C. Plastic Surgery CurrentSince Aug 27, 1992 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6035 Burke Centre Pkwy
Ste 390
Burke, VA 22015
Phone (703) 978-0756

6845 Elm St
Ste 708
McLean, VA 22101
Phone (703) 293-5239

Interoperability endpoints

  • Direct secure messaging: gduda@directaddress.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1891774386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6845 ELM ST",
            "address_2": "#708",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221016007",
            "telephone_number": "703-893-1111",
            "fax_number": "703-760-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 ELM ST",
            "address_2": "#708",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221016007",
            "telephone_number": "703-893-1111",
            "fax_number": "703-760-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDA",
        "first_name": "GLORIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "0101039385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

Verify at the official NPI Registry.