DR. KATHY DIEP NGOC TIEU (M.D.) – Dermatology Physician, NPI 1811973951

DR. KATHY DIEP NGOC TIEU (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. 0101235150 (VA). The NPI Number for DR. KATHY DIEP NGOC TIEU (M.D.) is 1811973951

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATHY DIEP NGOC TIEU (M.D.)
NPI
1811973951
Phone
(703) 620-8900
Address
3700 JOSEPH SIEWICK DR
Enumeration Date
20 December 2005
Last Update Date
15 February 2016

Doctor Profile

Medical School Name
UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Secondary Phone
7036208900
Graduation Year
2002 (24 years ago)
PAC ID
6103829064
Group Practice PAC ID
3173416369
Professional Enrollment ID
I20140310001301
Address ID
VA220331745FA3700XDRXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

471 DERMATOLOGY in VA

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Provider Addresses for DR. KATHY DIEP NGOC TIEU (M.D.)

  • Fair Oaks Medical Plaza, 3700, Joseph Siewick Drive, Chantilly, Fairfax (city), Virginia, 22033, United States

    404

    FAIRFAX, VA 220331744

    Phone: (703) 620-8900

    Fax: (703) 620-2288

    Type: Location

  • 12544 PINECREST RD

    HERNDON, VA 201712530

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $443.

Total Amount is formed as General ($443) + Research ($0) + Ownership ($0) = $443.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Galderma Laboratories, L.P. ($124).

Total Amount

$443

General + Research + Ownership

Payments

12

Total payment records

General Amount

$443

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2014-03-10

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
I20140310001301IDermatologyDCTBD

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
17003Destruction of precancer skin growth, 2-14 growths2,529501$0
99214Established patient office or other outpatient visit, 30-39 minutes1,092920$0
17000Destruction of precancer skin growth, 1 growth721606$0
11102Biopsy of related skin growth, first growth440383$0
17110Destruction of skin growth, 1-14 growths410385$0
View full utilization report →

Insurance plans in this area (ZIP 22033)

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Provider's Procedures

DR. KATHY DIEP NGOC TIEU (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYVA17003Destruction of 2-14 skin growths2525483

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173416369View full group profile
NameSpecialtyState
D E R M A T O L O G YMD
Physician AssistantTN
Physician AssistantVA
D E R M A T O L O G YVA
D E R M A T O L O G YMN

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Frequently asked questions

What NPI should I save for DR. KATHY DIEP NGOC TIEU (M.D.)?
Save NPI 1811973951 if you need a stable reference for DR. KATHY DIEP NGOC TIEU (M.D.).
Is DR. KATHY DIEP NGOC TIEU (M.D.) currently active in the NPI registry?
CMS-published data lists DR. KATHY DIEP NGOC TIEU (M.D.) as an active registrant.
Does DR. KATHY DIEP NGOC TIEU (M.D.) list a primary specialty?
If you are matching referrals, note Dermatology Physician for DR. KATHY DIEP NGOC TIEU (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. KATHY DIEP NGOC TIEU (M.D.)?
The snapshot lists Fairfax, Virginia for DR. KATHY DIEP NGOC TIEU (M.D.); download NPPES for the complete set.
Is DR. KATHY DIEP NGOC TIEU (M.D.) a real provider?
This page reflects official NPPES data for NPI 1811973951. Always confirm identity and privileges with the practice and licensing boards.

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