Individual provider Active NPI

Raina Bembry, MD

  • Dermatology Physician
  • Fairfax, VA
National Provider Identifier
1942769724
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101281195 Issued in VA
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

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240718002231 DC Practitioner - Dermatology 1759790579 Reassigns benefits to 2 organizations

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
Integrated Dermatology of Fairfax LLCGroup PAC ID 6103144753, 7 clinicians
Integrated Dermatology of Mass Ave, LLCGroup PAC ID 4486917648, 4 clinicians

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 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions125
Removal or shaving of skin growth1-10
Skin biopsy74

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Dermatology of Mass Ave, LLC CurrentSince Jul 1, 2025 Accepting new patients
Integrated Dermatology of Fairfax, LLC Dermatology CurrentSince Jul 1, 2024 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.

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

Verify at the official NPI Registry.