Organization Active NPI

Rejuve Institute Rejuve Cosmetic Surgery and Medspa

Doing business as Rejuve Plastic Surgery

  • Plastic and Reconstructive Surgery Physician
  • McLean, VA
National Provider Identifier
1174033195
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
0101254386 Issued in VA
Legal business name
REJUVE INSTITUTE REJUVE COSMETIC SURGERY AND MEDSPA
Doing business as
Rejuve Plastic Surgery
Practice address
1300 Chain Bridge Rd
MC Lean, VA 22101-3935
Phone
(703) 832-4000
NPI assigned
Oct 4, 2017
Last updated
Jan 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Authorized official

Name
Kirit Bhatt, MDNPI 1245428663
Title
Owner
Phone
(347) 744-9188

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 and Reconstructive Surgery Physician 2086S0122X 0101254386 VA Primary

Addresses

Primary practice location

1300 Chain Bridge Rd
MC Lean, VA 22101-3935

Mailing address

1300 Chain Bridge Rd
MC Lean, VA 22101-3935
Phone (703) 832-4000

Other names 1

  • Rejuve Plastic Surgery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180129002518 DC Part B Supplier - Clinic/Group Practice 6901166677 Receives reassigned benefits from 1 practitioner
Practice locations: MC Lean, VA

National Provider Directory

National Provider Directory

Locations

1800 Tysons Blvd
Ste 320
McLean, VA 22102
Phone (703) 447-4148

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1174033195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 CHAIN BRIDGE RD",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013935",
            "telephone_number": "703-832-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CHAIN BRIDGE RD",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013935",
            "telephone_number": "703-832-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVE INSTITUTE REJUVE COSMETIC SURGERY AND MEDSPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-04",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "BHATT",
        "authorized_official_first_name": "KIRIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-744-9188",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "VA",
            "license": "0101254386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rejuve Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McLean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.