Individual provider Active NPI

Ali Hendi, M.D.

  • MOHS-Micrographic Surgery Physician
  • Chevy Chase, MD
National Provider Identifier
1316935521
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
D0066740 Issued in MD
Practice address
5454 Wisconsin Ave Ste 725
Chevy Chase, MD 20815-6947
Phone
(301) 986-1006
Fax
(301) 986-1056
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D0066740 MD
MOHS-Micrographic Surgery Physician 207ND0101X D0066740 MD Primary

Addresses

Primary practice location

5454 Wisconsin Ave Ste 725
Chevy Chase, MD 20815-6947

Mailing address

5454 Wisconsin Ave Ste 725
Chevy Chase, MD 20815-6947
Phone (301) 986-1006

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
I20080502000301 DC Practitioner - Dermatology 2062489487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Miami, LM Miller School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ali Hendi, MD, PCGroup PAC ID 8022197086, 2 clinicians

Practice addresses (Care Compare)

5454 Wisconsin Ave
Suite 725
Chevy Chase, MD 20815-6947
Phone (301) 986-1006

Merit-based Incentive Payment System (MIPS)

Final score
73 of 100Reported as group
Quality
100
Improvement activities
40
Cost
10

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision173
Removal of tissue247
Removal of skin lesions114
Removal of skin cancer922
Removal or shaving of skin growth19
Skin biopsy159

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0066740MDMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ali Hendi, MD, PC CurrentSince Mar 3, 2008 Accepting new patients
Hendi Ambulatory Surgery Center, PC PastSince Aug 1, 2008 Accepting new patients
Elizabeth Mitchell Dugan MD LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5454 Wisconsin Ave
Ste 725
Chevy Chase, MD 20815
Phone (301) 986-1006

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCBFAA/Endpoint/HCBFAA

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299801600000",
    "number": "1316935521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVE STE 725",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156947",
            "telephone_number": "301-986-1006",
            "fax_number": "301-986-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVE STE 725",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156947",
            "telephone_number": "301-986-1006",
            "fax_number": "301-986-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDI",
        "first_name": "ALI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2011-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0066740",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MD",
            "license": "D0066740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.