Organization Active NPI

R. a. Plastic Surgery, L.L.C

  • Plastic Surgery Physician
  • Towson, MD
National Provider Identifier
1447422894
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
D0056338 Issued in MD
Legal business name
R. A. PLASTIC SURGERY, L.L.C
Practice address
530 E Joppa Rd
Towson, MD 21286-5470
Phone
(410) 296-6699
Fax
(410) 296-6689
NPI assigned
Mar 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Authorized official

Name
Ravi K. Aloor, M.D.NPI 1588702351
Title
Owner
Phone
(410) 296-6699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X D0056338 MD Primary

Addresses

Primary practice location

530 E Joppa Rd
Towson, MD 21286-5470

Mailing address

10845 Philadelphia Rd
White Marsh, MD 21162-1717
Phone (410) 335-0008

Other identifiers 5

IdentifierTypeStateIssuer
J745OtherDCCAREFIRST
913MOtherMDMEDICARE
DC3492OtherGARAILROAD MEDICARE
407038100OtherMDMEDICAL ASSISTANCE
876RAOtherMDCAREFIRST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040809000385 MD Part B Supplier - Clinic/Group Practice 7517939861 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD; Towson, MD

National Provider Directory

National Provider Directory

Locations

515 Fairmount Ave
Ste 300
Towson, MD 21286
Phone (410) 296-5300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1447422894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10845 PHILADELPHIA RD",
            "city": "WHITE MARSH",
            "state": "MD",
            "postal_code": "211621717",
            "telephone_number": "410-335-0008",
            "fax_number": "410-335-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 E JOPPA RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865470",
            "telephone_number": "410-296-6699",
            "fax_number": "410-296-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. A. PLASTIC SURGERY, L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "ALOOR",
        "authorized_official_first_name": "RAVI",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-296-6699",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "MD",
            "license": "D0056338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "J745",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "913M",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC3492",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "407038100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "876RA",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.