Individual provider Active NPI

Arjun Kanuri, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Chevy Chase, MD
National Provider Identifier
1578981957
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
D0091047 Issued in MD
Practice address
5550 Friendship Blvd Ste 130
Chevy Chase, MD 20815-7201
Phone
(301) 652-7700
Fax
(301) 907-6590
NPI assigned
Apr 2, 2014
Last updated
Sep 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X 0101271614 VA
Plastic and Reconstructive Surgery Physician 2086S0122X D0091047 MD Primary
Plastic and Reconstructive Surgery Physician 2086S0122X MD049116 DC

Addresses

Primary practice location

5550 Friendship Blvd Ste 130
Chevy Chase, MD 20815-7201

Mailing address

5550 Friendship Blvd Ste 130
Chevy Chase, MD 20815-7201
Phone (301) 652-7700

Other practice location 1

1945 Old Gallows Rd Ste 400
Tysons Corner, VA 22182-3931
Phone (703) 560-2850

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
I20210608001256 DC Practitioner - Plastic and Reconstructive Surgery 9335549625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Tufts University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Plastic Surgery, PCGroup PAC ID 3375702913, 6 clinicians

Practice addresses (Care Compare)

5550 Friendship Blvd
Suite 130
Chevy Chase, MD 20815-7281
Phone (301) 652-7700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision20
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD049116DCMDPlastic and Reconstructive Surgery Physician
D0091047MDMDPlastic and Reconstructive Surgery Physician
0101271614VAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Plastic Surgery, PC Single Specialty CurrentSince May 26, 2021 Accepting new patients
Northwell Health Current Accepting new patients
CPS Partners LLC Single Specialty Past Accepting new patients

Locations

5550 Friendship Blvd
Ste 130
Chevy Chase, MD 20815
Phone (301) 652-7700

Interoperability endpoints

  • Direct secure messaging: arjunkanuri@northwell.allscriptsdirect.net

Organizations & group practices 3

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": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1578981957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 FRIENDSHIP BLVD STE 130",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208157201",
            "telephone_number": "301-652-7700",
            "fax_number": "301-907-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 FRIENDSHIP BLVD STE 130",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208157201",
            "telephone_number": "301-652-7700",
            "fax_number": "301-907-6590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1945 Old Gallows Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Tysons Corner",
            "state": "VA",
            "postal_code": "221823931",
            "country_code": "US",
            "telephone_number": "703-560-2850",
            "fax_number": "703-207-0951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANURI",
        "first_name": "ARJUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-02",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "VA",
            "license": "0101271614",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MD",
            "license": "D0091047",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "DC",
            "license": "MD049116",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.