Eutopia Medical Dermatology and Aesthetics PLLC
NPI 1366262909ActiveOrganization· Dermatology· Fairfax, VA
Dermatology in Fairfax, Virginia, registered in NPPES in October 2024. The authorized official on file is Etsubdenk Mezemir Ajebo, MD, Dermatologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366262909 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 16, 2024 |
| Last updated in NPPES | Feb 10, 2026 |
| Certified by provider | Feb 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (DC) |
|---|
Other Dermatology providers in Fairfax
- 1003663204
- 1477337640
- 1477372936
- 1649099102
- 1245404276
- 1205212933
- 1609604610
- 1861890303
- 1255501417
- 1457796641
- 1508276619
- 1831305465