Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Blake R Zelickson, MD, PHD

Individual provider Dermatology Physician · NPI 1902292394

Dr. Blake R Zelickson, MD, PHD is a Dermatology in Sterling, Virginia. Qualified in 2015, 11 years ago. Practices with Clear Dermatology, a 2-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
11
Licensed in
VA
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

22365 Broderick Dr Ste 115
Sterling, VA 20166-9362
Phone: (170) 399-6400
Fax: (571) 707-8123
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 0101269123 (VA)

Record details

NPI number1902292394
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorYes
NPI enumeratedApril 13, 2015
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 5, 2026
Mailing address22365 Broderick Dr Ste 115, Sterling, VA 20166-9362

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Clear Dermatology — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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