Active NPI
Houtan Chaboki, M.D.
- Facial Plastic Surgery Physician
- Washington, DC
National Provider Identifier
1255388799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- MD036224
- Practice address
- 2311 M St NW Ste 501
Washington, DC 20037-1468 - Phone
- (202) 800-2085
- NPI assigned
- May 30, 2006
- Last updated
- Dec 17, 2019
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | 0101243728 | VA | |
| Facial Plastic Surgery Physician | 207YS0123X | D0064798 | MD | |
| Facial Plastic Surgery Physician | 207YS0123X | MD036224 | DC | Primary |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | MD036224 | DC | |
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X | MD036224 | DC |
Addresses
Primary practice location
2311 M St NW Ste 501
Washington, DC 20037-1468
Mailing address
2311 M St NW Ste 501
Washington, DC 20037-1468
Phone (202) 800-2085
Other names 1
- Dr. Houtan Chaboki
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 11, 2019 through Jan 11, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0064798 | MD | MD | Facial Plastic Surgery Physician |
| 0101243728 | VA | MD | Facial Plastic Surgery Physician |
| MD036224 | DC | MD | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576540800000",
"number": "1255388799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2311 M ST NW STE 501",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200371468",
"telephone_number": "202-800-2085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2311 M ST NW STE 501",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200371468",
"telephone_number": "202-800-2085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHABOKI",
"first_name": "HOUTAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2019-12-17",
"certification_date": "2019-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "VA",
"license": "0101243728",
"primary": false
},
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "MD",
"license": "D0064798",
"primary": false
},
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "DC",
"license": "MD036224",
"primary": true
},
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "DC",
"license": "MD036224",
"primary": false
},
{
"code": "2082S0099X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
"state": "DC",
"license": "MD036224",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HOUTAN",
"last_name": "CHABOKI",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
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 Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.