Individual provider Active NPI

Ilan Breit, PA-C

  • Surgical Physician Assistant
  • Arlington, VA
National Provider Identifier
1104201201
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
0110-007005 Issued in VA
Practice address
1625 N George Mason Dr
Arlington, VA 22205-3683
Phone
(703) 842-4188
NPI assigned
Jul 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 0110-007005 VA Primary
Surgical Physician Assistant 363AS0400X C0006368 MD

Addresses

Primary practice location

1625 N George Mason Dr
Arlington, VA 22205-3683

Mailing address

6201 Greenleigh Ave FL 2
Middle River, MD 21220-2004
Phone (410) 933-2704

Other practice location 1

2435 W Belvedere Ave
Hoffberger Suite #42
Baltimore, MD 21215-5224
Phone (410) 601-5547

Other practice location 2

1800 Orleans St
Baltimore, MD 21287-0010
Phone (410) 955-8893

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170302000933 MD Practitioner - Physician Assistant 5395029755 Reassigns benefits to 3 organizations
I20200224001623 DC Practitioner - Physician Assistant 5395029755 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Faculty Associates, Inc 676 clinicians

Practice addresses (Care Compare)

1200 Pecan St SE
Washington, DC 20032-2652
Phone (771) 444-6200

900 23Rd St NW
Washington, DC 20037-2342
Phone (202) 715-4000

Hospital & facility affiliations

  • Cedar Hill Regional Medical Center Hospital, Washington, DC, CCN 090012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0006368MDMDSurgical Physician Assistant
0110-007005VAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore Inc CurrentSince Mar 6, 2017 Accepting new patients
Sinai Hospital of Baltimore Inc CurrentSince Mar 6, 2017 Accepting new patients
Johns Hopkins University CurrentSince Oct 4, 2024 Accepting new patients
Johns Hopkins University CurrentSince Oct 4, 2024 Accepting new patients
Johns Hopkins University CurrentSince Oct 1, 2024 Accepting new patients
Johns Hopkins University CurrentSince Oct 1, 2024 Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Jan 1, 2024 Accepting new patients
District Hospital Partners L P CurrentSince Oct 18, 2021 Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Jan 1, 2024 Accepting new patients
District Hospital Partners LP CurrentSince Oct 18, 2021 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Mar 6, 2017 Accepting new patients

Locations

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

2401 W Belvedere Ave
Baltimore, MD 21215

1800 Orleans St
Baltimore, MD 21287
Phone (410) 502-2037

600 N Wolfe St
Baltimore, MD 21287

2435 W Belvedere Ave
Ste 42
Baltimore, MD 21215
Phone (410) 601-5547

2435 W Belvedere Ave
Ste 4
Baltimore, MD 21215
Phone (410) 601-5547

6201 Greenleigh Ave
Fl 2
Middle River, MD 21220
Phone (410) 933-2704

1635 N George Mason Dr
Ste 430
Arlington, VA 22205
Phone (703) 528-3600

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 1

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": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1104201201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE FL 2",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202004",
            "telephone_number": "410-933-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N GEORGE MASON DR",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053683",
            "telephone_number": "703-842-4188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2435 W Belvedere Ave",
            "address_2": "Hoffberger Suite #42",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212155224",
            "country_code": "US",
            "telephone_number": "410-601-5547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Orleans St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870010",
            "country_code": "US",
            "telephone_number": "410-955-8893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREIT",
        "first_name": "ILAN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-30",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "0110-007005",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C0006368",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.