Individual provider Active NPI

Rami Makhoul, M.D.

  • Surgery Physician
  • Rockville, MD
National Provider Identifier
1215127790
Registry record updated Aug 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D0078278 Issued in MD
Practice address
4701 Randolph Rd Ste 203
Rockville, MD 20852-2261
Phone
(301) 681-6437
NPI assigned
Jul 31, 2007
Last updated
Aug 31, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2019

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD040665 DC
Surgery Physician 208600000X 232879 MA
Surgery Physician 208600000X 0101263681 VA
Surgery Physician 208600000X D0078278 MD Primary
Colon & Rectal Surgery Physician 208C00000X 25MA09298500 NJ
Colon & Rectal Surgery Physician 208C00000X D0078278 MD

Addresses

Primary practice location

4701 Randolph Rd Ste 203
Rockville, MD 20852-2261

Mailing address

4701 Randolph Rd
Suite 203
Rockville, MD 20852-2257
Phone (301) 681-6437

Other practice location 1

1500 Forest Glen Rd
Holy Cross Hospital
Silver Spring, MD 20910-1460
Phone (301) 754-7000

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20141008002319 DC Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 4981824257 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Colon and Rectal Surgery PCGroup PAC ID 7113097643, 2 clinicians

Practice addresses (Care Compare)

10215 Fernwood Rd
Suite 102
Bethesda, MD 20817-1299
Phone (240) 858-6764

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Colonoscopy319
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD040665DCMDSurgery Physician
232879MAMDSurgery Physician
D0078278MDMDColon & Rectal Surgery Physician
25MA09298500NJMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Colon and Rectal Surgery PC Colon & Rectal Surgery CurrentSince Aug 1, 2017 Accepting new patients
Professional Services of Holy Cross CurrentSince Aug 12, 2014 Accepting new patients
Professional Services of Holy Cross CurrentSince Aug 12, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10215 Fernwood Rd
Ste 102
Bethesda, MD 20817
Phone (240) 858-6764

15001 Shady Grove Rd
Ste 100
Rockville, MD 20850
Phone (240) 702-0122

4701 Randolph Rd
Ste 203
Rockville, MD 20852
Phone (301) 681-6437

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

Interoperability endpoints

  • Direct secure messaging: rmakhoul1144230@direct.trinity-health.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567209600000",
    "number": "1215127790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 RANDOLPH RD",
            "address_2": "SUITE 203",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522257",
            "telephone_number": "301-681-6437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 RANDOLPH RD STE 203",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522261",
            "telephone_number": "301-681-6437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Forest Glen Rd",
            "address_2": "Holy Cross Hospital",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209101460",
            "country_code": "US",
            "telephone_number": "301-754-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAKHOUL",
        "first_name": "RAMI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2019-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "DC",
            "license": "MD040665",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "232879",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101263681",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0078278",
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NJ",
            "license": "25MA09298500",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MD",
            "license": "D0078278",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.