Paul T Gavaris, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD4319 Issued in DC

Practice address

4910 Massachusetts Ave NW
Ste 21
Washington, DC 20016-4300

Phone

(202) 686-0239

Fax

(202) 686-0925

NPI assigned

Oct 17, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Washington National Eye Center

  • Ophthalmology Physician
  • Washington, DC
  • NPI 1437175684
  Medicare reassignment NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104815794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 MASSACHUSETTS AVE NW",
            "address_2": "STE 21",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164300",
            "telephone_number": "202-686-0239",
            "fax_number": "202-686-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 MASSACHUSETTS AVE NW",
            "address_2": "STE 21",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164300",
            "telephone_number": "202-686-0239",
            "fax_number": "202-686-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVARIS",
        "first_name": "PAUL",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "MD4319",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101022547",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0017297",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deirdre Anne Gaughan, PSYD
• Katie Allison Gault, PT, DPT
• Paul Edward Gause, MD
• Dipa Gautam, NURSE PRACTITIONER
• Lauren Z Gavaris, M.D.
• Chian M Gavin, LICSW
• Destini Gavin
• Robert Mitchell Gavin, PHD, (ABD),
• Hemanth K Gavini, MD
• Siobhan Gavins, LPC

• Ophthalmology Physician in Washington, DC
• Providers in Washington, DC by specialty
• Ophthalmology Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.