Active NPI
Douglas A. Chavis, M.D.
- Psychiatry Physician
- Chevy Chase, MD
National Provider Identifier
1366613762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D0029187
- Practice address
- 5480 Wisconsin Ave
Suite 201
Chevy Chase, MD 20815-3530 - Phone
- (301) 770-1515
- NPI assigned
- Mar 13, 2008
- Last updated
- Mar 13, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D0029187 | MD | Primary |
Addresses
Primary practice location
5480 Wisconsin Ave
Suite 201
Chevy Chase, MD 20815-3530
Mailing address
5480 Wisconsin Ave
Suite 201
Chevy Chase, MD 20815-3530
Phone (301) 770-1515
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 Apr 1, 2014 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0029187 | MD | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205366400000",
"number": "1366613762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5480 WISCONSIN AVE",
"address_2": "SUITE 201",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208153530",
"telephone_number": "301-770-1515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5480 WISCONSIN AVE",
"address_2": "SUITE 201",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208153530",
"telephone_number": "301-770-1515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVIS",
"first_name": "DOUGLAS",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-13",
"last_updated": "2008-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0029187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chevy Chase, MD
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- Matthew Beville Chandler, M.D.
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- Chevy Chase Acupuncture
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.