Adult & Pediatric Dermatology Associates – Dermatology Physician, NPI 1801017223

Adult & Pediatric Dermatology Associates is a healthcare provider. based in Mc lean, Virginia. specializing in Dermatology Physician. The organization holds a License No. 0101226836 (VA). The NPI Number for Adult & Pediatric Dermatology Associates is 1801017223

Main info

Organization
Name
Adult & Pediatric Dermatology Associates
NPI
1801017223
Phone
(703) 893-3710
Address
8371A GREENSBORO DR
Authorized Official
DR. HO JIN KIM MANAGER M.D.
Enumeration Date
2 May 2007
Last Update Date
12 April 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Adult & Pediatric Dermatology Associates

  • 8371A GREENSBORO DR

    MC LEAN, VA 221023529

    Phone: (703) 893-3710

    Fax: (703) 734-1404

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-05-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation due soon

Earliest CMS due date is 2026-08-31 (79 days away).

Enrollment records

1

Earliest due date

2026-08-31

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
O20120521000304OClinic/Group PracticeDC2026-08-31

What to do next

  • Confirm the due date on the CMS Revalidation Lookup Tool.
  • Complete revalidation in PECOS before the published due date.
  • If you have multiple enrollment records, revalidate each one on its own schedule.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22102)

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Reviews

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Frequently asked questions

Can I use this page to confirm Adult & Pediatric Dermatology Associates's NPI?
Yes. Adult & Pediatric Dermatology Associates is listed with NPI 1801017223 in the public NPI dataset.
Is Adult & Pediatric Dermatology Associates listed as active for patients and plans?
The listing shows Adult & Pediatric Dermatology Associates as active in the NPI system.
What taxonomy line describes Adult & Pediatric Dermatology Associates?
For research purposes, treat Adult & Pediatric Dermatology Associates as Dermatology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does Adult & Pediatric Dermatology Associates serve?
Adult & Pediatric Dermatology Associates's listing highlights Mc Lean, Virginia; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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