Individual provider Active NPI

Edward H Stolar, MD

  • Dermatology Physician
  • Washington, DC
National Provider Identifier
1043267966
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD13788 Issued in DC
Practice address
1712 Eye Street NW
Suite 712
Washington, DC 20006-3747
Phone
(202) 659-2223
Fax
(202) 659-0289
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD13788 DC Primary

Addresses

Primary practice location

1712 Eye Street NW
Suite 712
Washington, DC 20006-3747

Mailing address

1712 Eye Street NW
Suite 712
Washington, DC 20006-3747
Phone (202) 659-2223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110617000255 DC Practitioner - Dermatology 6103891015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
George Washington University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Dermatology of I Street LLCGroup PAC ID 8820394653, 5 clinicians

Practice addresses (Care Compare)

900 17TH St NW
Suite 300
Washington, DC 20006-2506
Phone (202) 659-2223

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision64
Removal of tissue1-10
Removal of skin lesions701
Removal or shaving of skin growth35
Skin biopsy157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Dermatology of I Street, LLC Dermatology CurrentSince Apr 1, 2016 Accepting new patients

Locations

900 17th St NW
Ste 300
Washington, DC 20006
Phone (202) 659-2223

1712 I St NW
Ste 712
Washington, DC 20006
Phone (202) 659-2223

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1043267966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 EYE STREET NW",
            "address_2": "SUITE 712",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200063747",
            "telephone_number": "202-659-2223",
            "fax_number": "202-659-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 EYE STREET NW",
            "address_2": "SUITE 712",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200063747",
            "telephone_number": "202-659-2223",
            "fax_number": "202-659-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLAR",
        "first_name": "EDWARD",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "DC",
            "license": "MD13788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.