Beverli Fontaine-Rasaiah, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

D0085002 Issued in MD

Practice address

5550 Friendship Blvd Ste 360
Chevy Chase, MD 20815-7256

Phone

(240) 341-1290

NPI assigned

May 16, 2018

Last updated

Dec 30, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Beverli Fontaine Professional name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Elliot R Goldstein MD & Joel R Schulman MD PA

  • Internal Medicine Physician
  • Rockville, MD
  • NPI 1164488300

  DC, Dermatology

  Medicare reassignment NPD
• Center for Dermatology and Dermatologic Surgery, the Professional Aesthetic Image Center P C

  dba Center for Dermatology and Dermatologic Surgery

  • Procedural Dermatology Physician
  • Washington, DC
  • NPI 1255526901
  Medicare reassignment
• Elliot R Goldstein MD & Joel R Schulman MD PA

  • Durable Medical Equipment & Medical Supplies
  • Gaithersburg, MD
  • NPI 1679342422
  NPD
• Center for Dermatology and Dermatologic Surgery Management, LLC

  dba Center for Dermatology

  • Procedural Dermatology Physician
  • Annapolis, MD
  • NPI 1508103011
  NPD (past)

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1639669575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 GREENSBORO DR STE L1-121",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023605",
            "telephone_number": "702-223-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 FRIENDSHIP BLVD STE 360",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208157256",
            "telephone_number": "240-341-1290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Thomas Johnson Dr",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024901",
            "country_code": "US",
            "telephone_number": "301-694-5292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONTAINE-RASAIAH",
        "first_name": "BEVERLI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-16",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0085002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVERLI",
            "last_name": "FONTAINE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Ben Forman, PH.D.
• Pamela Mills Forman, PH.D.
• Rebecca Lynn Sanda Fornaciari, LCPC
• Taryn Fortune, M.D.

• Dermatology Physician in Chevy Chase, MD
• Providers in Chevy Chase, MD by specialty
• Dermatology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.