Individual provider Active NPI

Houtan Chaboki, M.D.

  • Facial Plastic Surgery Physician
  • Washington, DC
National Provider Identifier
1255388799
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
MD036224 Issued in DC
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
D0064798MDMDFacial Plastic Surgery Physician
0101243728VAMDFacial Plastic Surgery Physician
MD036224DCMDPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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"
        }
    ]
}

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Sources for this page

Verify at the official NPI Registry.