Linda Park Nims, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

0101028419 Issued in VA

Practice address

243 Church St NW
Suite 200 C
Vienna, VA 22180-4434

Phone

(703) 938-5700

Fax

(703) 938-4467

NPI assigned

Jun 29, 2005

Last updated

Mar 29, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

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 1

Specialty

Dermatology

Education

Medical University of South Carolina College of Medicine, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology and Dermatologic Surgery Group of Northern Virginia PLLCGroup PAC ID 5496823585, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dermatology & Dermatologic Surgery Group of Northern Virginia PLLC

  • Dermatology Physician
  • Vienna, VA
  • NPI 1386810299

  DC

  Medicare reassignment Care Compare group NPD Authorized official
• Linda P Nims MD & Assoc

  • Dermatology Physician
  • Vienna, VA
  • NPI 1619049632
  NPD Authorized official

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

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206748800000",
    "number": "1922005537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79262",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212790262",
            "telephone_number": "703-938-5700",
            "fax_number": "703-938-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 CHURCH ST NW",
            "address_2": "SUITE 200 C",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804434",
            "telephone_number": "703-938-5700",
            "fax_number": "703-938-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMS",
        "first_name": "LINDA",
        "middle_name": "PARK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-29",
        "last_updated": "2008-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "VA",
            "license": "0101028419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PIN",
            "identifier": "G00477",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rae'Nicia Niles
• Katie Ningcharoen
• Nisha Patel MD PC
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• Nivalis Counseling PLLC
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• Procedural Dermatology Physician in Vienna, VA
• Providers in Vienna, VA by specialty
• Procedural Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2008; 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.