Active NPI
Rebat Halder, MD
- Dermatology Physician
- Washington, DC
National Provider Identifier
1144265349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD11882
- Practice address
- 2041 Georgia Ave NW
Washington, DC 20060-0001 - Phone
- (202) 865-6725
- Fax
- (202) 865-1757
- NPI assigned
- Jun 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD11882 | DC | Primary |
Addresses
Primary practice location
2041 Georgia Ave NW
Washington, DC 20060-0001
Mailing address
2024 Georgia Ave NW
Washington, DC 20001-3027
Phone (202) 865-3415
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05902665 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD11882 | DC | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Faculty Associates, Inc | Dermatology | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187568000000",
"number": "1144265349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2024 GEORGIA AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200013027",
"telephone_number": "202-865-3415",
"fax_number": "202-865-6876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2041 GEORGIA AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200600001",
"telephone_number": "202-865-6725",
"fax_number": "202-865-1757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALDER",
"first_name": "REBAT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-19",
"last_updated": "2007-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "DC",
"license": "MD11882",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05902665",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.