DWANA RASHAD SHABAZZ (M.D.) – Dermatology Physician, NPI 1548296817

DWANA RASHAD SHABAZZ (M.D.) is a healthcare provider. based in Fairfax, Virginia. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 0101240235 (VA). The NPI Number for DWANA RASHAD SHABAZZ (M.D.) is 1548296817

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DWANA RASHAD SHABAZZ (M.D.)
NPI
1548296817
Phone
(703) 865-6801
Address
12011 LEE JACKSON MEMORIAL HWY SUITE 440
Enumeration Date
25 June 2006
Last Update Date
12 September 2017

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7038656801
Graduation Year
2002 (24 years ago)
PAC ID
6901803881
Professional Enrollment ID
I20070612000345
Address ID
VA220333310FA1201150XX307
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

471 DERMATOLOGY in VA

Provider Addresses for DWANA RASHAD SHABAZZ (M.D.)

  • 12011 LEE JACKSON MEMORIAL HWY SUITE 440

    SUITE 303

    FAIRFAX, VA 22033

    Phone: (703) 865-6801

    Fax: (703) 865-6784

    Type: Mailing

  • 12011 LEE JACKSON MEMORIAL HWY STE 440

    FAIRFAX, VA 220333335

    Phone: (703) 865-6801

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 60 Open Payments records for all available years, with a total value of $2,447.

Total Amount is formed as General ($2,447) + Research ($0) + Ownership ($0) = $2,447.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($1,022).

Total Amount

$2,447

General + Research + Ownership

Payments

60

Total payment records

General Amount

$2,447

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-06-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070612000345IDermatologyDCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes9670$0
99214Established patient office or other outpatient visit, 30-39 minutes8677$0
17110Destruction of skin growth, 1-14 growths5444$0
99203New patient office or other outpatient visit, 30-44 minutes5050$0
99202New patient office or other outpatient visit, 15-29 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 22033)

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Reviews

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Frequently asked questions

Can I cross-check DWANA RASHAD SHABAZZ (M.D.) using NPI 1548296817?
NPI 1548296817 belongs to DWANA RASHAD SHABAZZ (M.D.); compare other details if you need extra assurance.
Is there an active status for DWANA RASHAD SHABAZZ (M.D.)?
For scheduling context, DWANA RASHAD SHABAZZ (M.D.) is shown as active in the registry.
What clinical focus is listed for DWANA RASHAD SHABAZZ (M.D.)?
At a glance, DWANA RASHAD SHABAZZ (M.D.) is tied to Dermatology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DWANA RASHAD SHABAZZ (M.D.)?
Directory geography for DWANA RASHAD SHABAZZ (M.D.) centers on Fairfax, Virginia.
Does DWANA RASHAD SHABAZZ (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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