Organization Active NPI

Verum Cutis Dermatology PLLC

  • Dermatology Physician
  • Leesburg, VA
National Provider Identifier
1972095974
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
VERUM CUTIS DERMATOLOGY PLLC
Practice address
19500 Sandridge Way Ste 320
Leesburg, VA 20176-3695
Phone
(703) 687-3105
NPI assigned
Jun 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Authorized official

Name
Megan Brelsford, DONPI 1407085434
Title
Owner
Phone
(518) 669-1830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

19500 Sandridge Way Ste 320
Leesburg, VA 20176-3695

Mailing address

44110 Ashburn Shopping PLZ Unit 237
Ashburn, VA 20147-7912
Phone (703) 687-3105

Other practice location 1

44110 Ashburn Shopping Plz Unit 237
Ashburn, VA 20147
Phone (518) 669-1830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180808002620 VA Part B Supplier - Clinic/Group Practice 0244588176 Receives reassigned benefits from 9 practitioners
Practice locations: Ashburn, VA; Leesburg, VA

National Provider Directory

National Provider Directory

Locations

44110 Ashburn Shopping Plz
Unit 237
Ashburn, VA 20147
Phone (703) 687-3105

19500 Sandridge Way
Ste 320
Leesburg, VA 20176
Phone (703) 687-3105

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00311

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1972095974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44110 ASHBURN SHOPPING PLZ UNIT 237",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201477912",
            "telephone_number": "703-687-3105",
            "fax_number": "571-291-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19500 SANDRIDGE WAY STE 320",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763695",
            "telephone_number": "703-687-3105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44110 Ashburn Shopping Plz Unit 237",
            "address_purpose": "LOCATION",
            "city": "Ashburn",
            "state": "VA",
            "postal_code": "20147",
            "country_code": "US",
            "telephone_number": "518-669-1830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VERUM CUTIS DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-05",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "BRELSFORD",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-669-1830",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.