Individual provider Active NPI

Kirit Bhatt, M.D.

  • Plastic Surgery Physician
  • McLean, VA
National Provider Identifier
1245428663
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
0101254386 Issued in VA
Practice address
1300 Chain Bridge Rd
MC Lean, VA 22101-3935
Phone
(703) 574-4955
Fax
(703) 483-9986
NPI assigned
Oct 10, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 64331 GA
Plastic Surgery Physician 208200000X 52988 CA
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X 0101254386 VA
Plastic Surgery Physician 208200000X 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) 574-4955

Other practice location 1

1467 Harper Street, HB-5040
Augusta, GA 30912
Phone (347) 744-9188

Other practice location 2

1467 Harper Street, HB-5040
Augusta, GA 30912
Phone (347) 744-9188

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
I20130816000206 DC Practitioner - Plastic and Reconstructive Surgery 6608957709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Boston University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1800 Tysons Blvd
MC Lean, VA 22102-4262
Phone (703) 447-4148

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52988CAMDMarriage & Family Therapist
64331GAMDPlastic Surgery Physician
0101254386VAMDPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rejuve Institute Rejuve Cosmetic Surgery and Medspa CurrentSince Nov 1, 2017 Accepting new patients

Locations

1300 Chain Bridge Rd
McLean, VA 22101
Phone (703) 790-5454

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1245428663",
    "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": "703-574-4955",
            "fax_number": "703-483-9986"
        },
        {
            "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": "703-574-4955",
            "fax_number": "703-483-9986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1467 Harper Street, HB-5040",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "30912",
            "country_code": "US",
            "telephone_number": "347-744-9188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1467 Harper Street, HB-5040",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "30912",
            "country_code": "US",
            "telephone_number": "347-744-9188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHATT",
        "first_name": "KIRIT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "64331",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "52988",
            "primary": false
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "VA",
            "license": "0101254386",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "0101254386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

Verify at the official NPI Registry.