Individual provider Active NPI

Faris Hakki, M.D.

  • Vascular Surgery Physician
  • Washington, DC
National Provider Identifier
1437168325
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD21291 Issued in DC
Practice address
106 Irving St NW
Pob 408
Washington, DC 20010-2927
Phone
(202) 877-5007
Fax
(202) 877-0090
NPI assigned
Aug 7, 2006
Last updated
Jan 28, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MD21291 DC Primary

Addresses

Primary practice location

106 Irving St NW
Pob 408
Washington, DC 20010-2927

Mailing address

4618 Foxhall Cres NW
Washington, DC 20007-1061
Phone (202) 744-6314

Other identifiers 3

IdentifierTypeStateIssuer
521958465OtherDCTAX ID FOR HAKKI MEDICAL ASSOCIATION
026637100MedicaidDC
796207OtherDCSOLO PRACTICE PTAN 792607

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
I20041229000844 DC Practitioner - Vascular SurgeryPractitioner - NephrologyPractitioner - Other (Physician) 8022076546 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: Nephrology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metropolitan Access Center LLCGroup PAC ID 6103903679, 2 clinicians

Practice addresses (Care Compare)

106 Irving St NW
Suite 408
Washington, DC 20010-2989
Phone (202) 877-5007

4155 Bladensburg Rd
Colmar Manor, MD 20722-1928
Phone (301) 277-1545

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
93.33
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
64.76 of 100Reported as individual
Quality
80.29
Improvement activities
0
Cost
75.48

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metro DC Surgery Center LLC CurrentSince Jun 1, 2023 Accepting new patients
Faris Z Hakki, M.D. Vascular Surgery CurrentSince Dec 29, 2012 Accepting new patients
Metropolitan Access Center LLC CurrentSince Dec 1, 2007 Accepting new patients
Medical Faculty Associates, Inc Past Accepting new patients
Metropolitan Vascular Access Vascular Surgery PastSince Dec 29, 2012 Accepting new patients

Locations

106 Irving St NW
Ste 408
Washington, DC 20010
Phone (202) 877-5005

4155 Bladensburg Rd
Colmar Manor, MD 20722
Phone (301) 277-1545

Interoperability endpoints

  • Direct secure messaging: faris.hakki.p168@direct.lifelinevascular.nextgenshare.com
  • Direct secure messaging: faris.hakki.p27@direct.lifelinevascular.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1437168325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4618 FOXHALL CRES NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200071061",
            "telephone_number": "202-744-6314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 IRVING ST NW",
            "address_2": "POB 408",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102927",
            "telephone_number": "202-877-5007",
            "fax_number": "202-877-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKKI",
        "first_name": "FARIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "DC",
            "license": "MD21291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID FOR HAKKI MEDICAL ASSOCIATION",
            "identifier": "521958465",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026637100",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOLO PRACTICE PTAN 792607",
            "identifier": "796207",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.