NPIMap

Organization Active NPI

Affiliates in Plastic Surgery, LLC

  • Plastic Surgery Physician
  • Alexandria, VA
National Provider Identifier
1164848529
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
0101249883 Issued in VA
Legal business name
AFFILIATES IN PLASTIC SURGERY, LLC
Practice address
4660 Kenmore Ave
Suite 220
Alexandria, VA 22304-1313
Phone
(703) 888-2034
Fax
(703) 888-2095
NPI assigned
Mar 10, 2014
Last updated
Aug 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Authorized official

Name
Dr. Ali Al-Attar, M.D.NPI 1659529907
Title
Physician
Phone
(703) 888-2034

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 0101249883 VA Primary

Addresses

Primary practice location

4660 Kenmore Ave
Suite 220
Alexandria, VA 22304-1313

Mailing address

4660 Kenmore Ave
Suite 220
Alexandria, VA 22304-1313
Phone (703) 888-2034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20141111000271 DC Part B Supplier - Clinic/Group Practice 2365664117 Receives reassigned benefits from 16 practitioners
Practice locations: Alexandria, VA; Chevy Chase, MD; MC Lean, VA; Rockville, MD; Vienna, VA
O20171218001826 VA Part B Supplier - Clinic/Group Practice 2365664117 Receives reassigned benefits from 12 practitioners
Practice locations: Woodbridge, VA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Affiliates in Plastic Surg2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

15245 Shady Grove Rd
Ste 155
Rockville, MD 20850
Phone (240) 912-4708

6801 Whittier Ave
Ste 301
McLean, VA 22101
Phone (703) 505-0444

2200 Opitz Blvd
Ste 250
Woodbridge, VA 22191
Phone (703) 494-5858

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1164848529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE",
            "address_2": "SUITE 220",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041313",
            "telephone_number": "703-888-2034",
            "fax_number": "703-888-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE",
            "address_2": "SUITE 220",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041313",
            "telephone_number": "703-888-2034",
            "fax_number": "703-888-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATES IN PLASTIC SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "AL-ATTAR",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "703-888-2034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "0101249883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.