Individual provider Active NPI

Edward Charles Rabbitt, M.D.

  • Orthopaedic Surgery Physician
  • Alexandria, VA
National Provider Identifier
1053342592
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
D0030644 Issued in MD
Practice address
6355 Walker LN
Suite 501
Alexandria, VA 22310-3245
Phone
(703) 765-4321
Fax
(703) 971-0958
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X D0030644 MD Primary
Orthopaedic Surgery Physician 207X00000X 0101036585 VA
Orthopaedic Surgery Physician 207X00000X MD14460 DC

Addresses

Primary practice location

6355 Walker LN
Suite 501
Alexandria, VA 22310-3245

Mailing address

6355 Walker LN
Suite 501
Alexandria, VA 22310-3245
Phone (703) 765-4321

Other identifiers 5

IdentifierTypeStateIssuer
342721800MedicaidMD
39689OtherMDIPA/OPT CH/MAMSI PROV#
200028366OtherMDRAILROAD MEDICARE
419539OtherMDCAREFIRST MARYLAND PROV#
46950005OtherDCCAREFIRST NCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100320000058 DC Practitioner - Orthopedic Surgery 0547257271 Reassigns benefits to 1 organization
I20100701000073 MD Practitioner - Orthopedic Surgery 0547257271 Reassigns benefits to 1 organization
I20130501000409 VA Practitioner - Orthopedic Surgery 0547257271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.97 of 100Reported as group
Quality
72.87
Promoting interoperability
100
Improvement activities
40
Cost
67.82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD14460DCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Apr 22, 2014 Accepting new patients
Lake Ridge Ambulatory Surgery Center, LLC PastSince May 14, 2003 Accepting new patients

Locations

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

13950 Brandywine Rd
Ste 225
Brandywine, MD 20613
Phone (301) 782-2220

8926 Woodyard Rd
Ste 701
Clinton, MD 20735

11325 Pembrooke Sq
Ste 115
Waldorf, MD 20603
Phone (301) 719-1146

4240 Altamont Pl
Ste 103
White Plains, MD 20695
Phone (301) 638-5842

6355 Walker Ln
Ste 501
Alexandria, VA 22310
Phone (703) 765-4321

12825 Minnieville Rd
Woodbridge, VA 22192
Phone (703) 523-9800

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

12825 Minnieville Rd
Ste 203
Woodbridge, VA 22192
Phone (730) 971-3701

Organizations & group practices 3

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1053342592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 WALKER LN",
            "address_2": "SUITE 501",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103245",
            "telephone_number": "703-765-4321",
            "fax_number": "703-971-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 WALKER LN",
            "address_2": "SUITE 501",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103245",
            "telephone_number": "703-765-4321",
            "fax_number": "703-971-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABBITT",
        "first_name": "EDWARD",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D0030644",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101036585",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "DC",
            "license": "MD14460",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "342721800",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA/OPT CH/MAMSI PROV#",
            "identifier": "39689",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200028366",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MARYLAND PROV#",
            "identifier": "419539",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST NCA",
            "identifier": "46950005",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.