Individual provider Active NPI

Mark Louis Venturi, M.D.

  • Plastic and Reconstructive Surgery Physician
  • McLean, VA
National Provider Identifier
1093734717
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
0101233860 Issued in VA
Practice address
7601 Lewinsville Rd
Suite 400
MC Lean, VA 22102-2814
Phone
(703) 287-8277
Fax
(703) 287-8278
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 0101233860 VA Primary
Plastic and Reconstructive Surgery Physician 2086S0122X D0066278 MD
Plastic and Reconstructive Surgery Physician 2086S0122X MD0334485 DC

Addresses

Primary practice location

7601 Lewinsville Rd
Suite 400
MC Lean, VA 22102-2814

Mailing address

7601 Lewinsville Rd
Suite 400
MC Lean, VA 22102-2814
Phone (703) 287-8277

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
I20080915000426 DC Practitioner - Plastic and Reconstructive Surgery 8022199033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Georgetown University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
National Center for Plastic Surgery LLCGroup PAC ID 5890984314, 13 clinicians

Practice addresses (Care Compare)

7601 Lewinsville Rd
Suite 400
McLean, VA 22102-2834
Phone (703) 287-8277

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy44
Melanoma (skin cancer) excision19
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0334485DCMDPlastic and Reconstructive Surgery Physician
D0066278MDMDPlastic and Reconstructive Surgery Physician
0101233860VAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
National Center for Plastic Surgery LLC CurrentSince Sep 1, 2010 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

7601 Lewinsville Rd
Ste 400
McLean, VA 22102
Phone (703) 287-8277

Organizations & group practices 2

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235001600000",
    "number": "1093734717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 LEWINSVILLE RD",
            "address_2": "SUITE 400",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221022814",
            "telephone_number": "703-287-8277",
            "fax_number": "703-287-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 LEWINSVILLE RD",
            "address_2": "SUITE 400",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221022814",
            "telephone_number": "703-287-8277",
            "fax_number": "703-287-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTURI",
        "first_name": "MARK",
        "middle_name": "LOUIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2009-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "VA",
            "license": "0101233860",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MD",
            "license": "D0066278",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "DC",
            "license": "MD0334485",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

Verify at the official NPI Registry.