Plastic Surgery and Dermatology Associates, LLC
NPI 1235395179ActiveOrganization· Plastic Surgery· Fairfax, VA
Plastic Surgery in Fairfax, Virginia, registered in NPPES in July 2008. The authorized official on file is Shabnam Shahabadi, M.D., Co-Manager. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1235395179 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 30, 2008 |
| Last updated in NPPES | Nov 23, 2020 |
| Certified by provider | Nov 23, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | 0101243338 | VA |
| Dermatology | 207N00000X | 0101243725 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (DC); Part B Supplier - Clinic/Group Practice (VA) |
|---|
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