Active NPI
Rafael J Convit, M.D.
- Plastic Surgery Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- MD16621
- 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, 2007
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 72.87
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD16621 | DC | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliates in Plastic Surgery, LLC | Plastic Surgery | Current | Accepting new patients |
| Affiliates in Plastic Surgery, LLC | Current | 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
- 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.
-
dba Shady Grove Surgicenter
- Plastic and Reconstructive Surgery Physician
- Rockville, MD
- NPI 1336863844
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.