Individual provider Active NPI

Mana Ogholikhan, M.D.

  • Dermatology Physician
  • Chevy Chase, MD
National Provider Identifier
1316142227
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D0066213 Issued in MD
Practice address
8401 Connecticut Ave Ste 210
Chevy Chase, MD 20815-5837
Phone
(240) 482-2555
NPI assigned
Jun 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D0066213 MD Primary

Addresses

Primary practice location

8401 Connecticut Ave Ste 210
Chevy Chase, MD 20815-5837

Mailing address

4000 Massachusetts Ave NW Apt 1313
Washington, DC 20016-5133
Phone (202) 276-8403

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
I20071004000758 DC Practitioner - Dermatology 4688769615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Georgetown University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mana Dermatology LLCGroup PAC ID 5496167058, 2 clinicians

Practice addresses (Care Compare)

7500 Greenway Ctr Dr
Suite 1220
Greenbelt, MD 20770

7500 Greenway Ctr Dr
Suite 1220
Greenbelt, MD 20770-3590
Phone (301) 615-1986

Merit-based Incentive Payment System (MIPS)

Final score
99.72 of 100Reported as group
Quality
99.43
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision47
Removal of tissue1-10
Removal of skin lesions1226
Removal or shaving of skin growth1-10
Skin biopsy261

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0066213MDMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mana Dermatology LLC Dermatology CurrentSince Mar 11, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

7500 Greenway Center Dr
Ste 1220
Greenbelt, MD 20770
Phone (301) 615-1986

Interoperability endpoints

  • Direct secure messaging: mogholikhan@manaderma.emadirect.md

Organizations & group practices 2

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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316142227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MASSACHUSETTS AVE NW APT 1313",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200165133",
            "telephone_number": "202-276-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 CONNECTICUT AVE STE 210",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208155837",
            "telephone_number": "240-482-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGHOLIKHAN",
        "first_name": "MANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0066213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.