Active NPI
Raina Bembry, MD
- Dermatology Physician
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 0101281195
- Practice address
- 10680 Main St Ste 200
Fairfax, VA 22030-3810 - Phone
- (703) 352-2620
- Fax
- (703) 352-2594
- NPI assigned
- Mar 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD600004546 | DC | |
| Dermatology Physician | 207N00000X | 0101281195 | VA | Primary |
Addresses
Primary practice location
10680 Main St Ste 200
Fairfax, VA 22030-3810
Mailing address
4700 Exchange CT Ste 110
Boca Raton, FL 33431-4450
Phone (561) 948-0291
Other practice location 1
4910 Massachusetts Ave NW Ste 308
Washington, DC 20016-4382
Phone (202) 695-1000
Other practice location 2
24560 Southpoint Drive, Suite 230
Aldie, VA 20105-3505
Phone (703) 957-0416
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Howard University College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10680 Main St
Suite 200
Fairfax, VA 22030-3810
Phone (703) 352-2620
4910 Massachusetts Ave NW
Suite 308
Washington, DC 20016-4382
Phone (202) 695-1000
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 125 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 74 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Dermatology of Mass Ave, LLC | Current | Accepting new patients | |
| Integrated Dermatology of Fairfax, LLC | Dermatology | Current | Accepting new patients |
Locations
4910 Massachusetts Ave NW
Ste 308
Washington, DC 20016
Phone (202) 657-2432
4700 Exchange Ct
Ste 110
Boca Raton, FL 33431
Phone (561) 223-8081
10680 Main St
Ste 200
Fairfax, VA 22030
Phone (703) 352-2620
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.
-
- MOHS-Micrographic Surgery Physician
- Washington, DC
- NPI 1417450883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1942769724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 EXCHANGE CT STE 110",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334314450",
"telephone_number": "561-948-0291",
"fax_number": "561-859-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10680 MAIN ST STE 200",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220303810",
"telephone_number": "703-352-2620",
"fax_number": "703-352-2594"
}
],
"practiceLocations": [
{
"address_1": "4910 Massachusetts Ave NW Ste 308",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200164382",
"country_code": "US",
"telephone_number": "202-695-1000",
"fax_number": "202-503-1791",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "24560 Southpoint Drive, Suite 230",
"address_purpose": "LOCATION",
"city": "Aldie",
"state": "VA",
"postal_code": "201053505",
"country_code": "US",
"telephone_number": "703-957-0416",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEMBRY",
"first_name": "RAINA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-19",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "DC",
"license": "MD600004546",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "VA",
"license": "0101281195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.