Individual provider Active NPI

Caroline Michaux Lewis Stovall, M.D.

  • Dermatology Physician
  • Arlington, VA
National Provider Identifier
1922460906
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101269135 Issued in VA
Practice address
1525 Wilson Blvd Ste 125
Arlington, VA 22209-2470
Phone
(703) 966-7127
NPI assigned
Mar 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 0101269135 VA Primary

Addresses

Primary practice location

1525 Wilson Blvd Ste 125
Arlington, VA 22209-2470

Mailing address

1525 Wilson Blvd Ste 125
Arlington, VA 22209-2470
Phone (703) 966-7127

Other names 1

  • Caroline Michaux Lewis Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200821001187 DC Practitioner - Dermatology 4789953985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical College of Georgia School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skindc PLLCGroup PAC ID 1557645140, 7 clinicians

Practice addresses (Care Compare)

1525 Wilson Blvd
Suite 125
Arlington, VA 22209-2470
Phone (703) 966-7127

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions96
Skin biopsy28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101269135VAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skindc PLLC Single Specialty CurrentSince Aug 1, 2020 Accepting new patients
University of North Carolina at Chapel Hill Single Specialty Past Accepting new patients

Locations

1525 Wilson Blvd
Ste 125
Arlington, VA 22209
Phone (703) 214-6496

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": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1922460906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 WILSON BLVD STE 125",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222092470",
            "telephone_number": "703-966-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 WILSON BLVD STE 125",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222092470",
            "telephone_number": "703-966-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVALL",
        "first_name": "CAROLINE",
        "middle_name": "MICHAUX LEWIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101269135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "LEWIS",
            "middle_name": "MICHAUX",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.