Individual provider Active NPI

Rafael J Convit, M.D.

  • Plastic Surgery Physician
  • Washington, DC
National Provider Identifier
1487685632
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD16621 Issued in DC
Practice address
106 Irving St NW
Suite 4000
Washington, DC 20010-2927
Phone
(202) 882-5799
Fax
(202) 882-2112
NPI assigned
Jul 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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
Plastic Surgery Physician 208200000X MD16621 DC Primary

Addresses

Primary practice location

106 Irving St NW
Suite 4000
Washington, DC 20010-2927

Mailing address

106 Irving St NW
Suite 4000
Washington, DC 20010-2927
Phone (202) 882-5799

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
I20100316000731 DC Practitioner - Plastic and Reconstructive Surgery 9638204647 Reassigns benefits to 1 organization
Practice locations: Washington, DC

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
George Washington University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5530 Wisconsin Ave
Suite 711
Chevy Chase, MD 20815-4401
Phone (301) 232-3000

Merit-based Incentive Payment System (MIPS)

Final score
91.86 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.87

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD16621DCMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliates in Plastic Surgery, LLC Plastic Surgery CurrentSince Jul 1, 2023 Accepting new patients
Affiliates in Plastic Surgery, LLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

5530 Wisconsin Ave
Ste 711
Chevy Chase, MD 20815
Phone (301) 232-3000

15245 Shady Grove Rd
Ste 155
Rockville, MD 20850
Phone (240) 912-4708

4660 Kenmore Ave
Ste 220
Alexandria, VA 22304
Phone (703) 832-4000

1800 Town Center Dr
Ste 312
Reston, VA 20190
Phone (703) 796-0370

Interoperability endpoints

  • Direct secure messaging: rconvit52707@direct.hopkinsmedicine.org

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487685632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 IRVING ST NW",
            "address_2": "SUITE 4000",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102927",
            "telephone_number": "202-882-5799",
            "fax_number": "202-882-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 IRVING ST NW",
            "address_2": "SUITE 4000",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102927",
            "telephone_number": "202-882-5799",
            "fax_number": "202-882-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONVIT",
        "first_name": "RAFAEL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "DC",
            "license": "MD16621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.