Elite Dermatology and Esthetics LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ELITE DERMATOLOGY AND ESTHETICS LLC

Practice address

8100 Boone Blvd Ste 230
Vienna, VA 22182-2642

Phone

(703) 495-5555

NPI assigned

Jan 9, 2024

Organization subpart

No

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

Authorized official

Name

Saleh Rachidi, MDNPI 1447609615

Title

Owner

Phone

(843) 327-2910

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00350

Practitioners 1

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

• Saleh Rachidi, MD, PHD

  • Dermatology Physician
  • Vienna, VA
  • NPI 1447609615

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1972374064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 BOONE BLVD STE 230",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822642",
            "telephone_number": "703-495-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 BOONE BLVD STE 230",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822642",
            "telephone_number": "703-495-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DERMATOLOGY AND ESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "RACHIDI",
        "authorized_official_first_name": "SALEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-327-2910",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oksana Elariny, DDS
• Maggie Jean Elbon
• Electrolysis Partners
• Elevated Mindset Therapy, LLC
• Elite Care at Home of Northern Virginia LLC
• Elite Home Health, LLC
• Elite Plastic Surgery LLC
• Mohammad Elkhateeb, DDS
• Elle Dental PC
• Gary Ellenbogen, D.D.S.

• Dermatology Physician in Vienna, VA
• Providers in Vienna, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.