Ali Al-Attar, MD
Individual provider Active NPI Plastic Surgery Physician · Alexandria, VA
NPI 1659529907 · NPPES record last updated Dec 26, 2019
Key facts
- NPI
- 1659529907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic Surgery Physician 208200000X
- License
- 0101249883 (VA)
- Practice address
- 4660 Kenmore Ave
Suite 220
Alexandria, VA 22304-1313 - Phone
- (703) 888-2034
- Fax
- (703) 888-2095
- NPI assigned
- Aug 28, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Plastic and Reconstructive Surgery
- Education
- Georgetown University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Affiliates in Plastic Surgery LLC
Practice addresses (Care Compare)
15245 Shady Grove Rd
Suite 155
Rockville, MD 20850-6271
Phone (301) 232-3000
4660 Kenmore Ave
Suite 220
Alexandria, VA 22304-1306
Phone (703) 888-2034
4701 Randolph Rd
Suite 201
Rockville, MD 20852-2261
Phone (301) 232-3000
6801 Whittier Ave
Suite 301
MC Lean, VA 22101-4549
Phone (703) 832-4000
Hospital & facility affiliations
- Holy Cross Hospital
- Inova Alexandria Hospital
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 |
| Melanoma (skin cancer) excision | 15 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110429000081 | DC | Practitioner - Plastic and Reconstructive Surgery | 9931384344 | Reassigns benefits to 1 organization |
| I20171218001952 | VA | Practitioner - Plastic and Reconstructive Surgery | 9931384344 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25520701 | NY | MD | Plastic Surgery Physician |
| 0101249883 | VA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliates in Plastic Surgery, LLC | Current |
Accepting new patients | |
| Affiliates in Plastic Surgery, LLC | Plastic Surgery | Current |
Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Craig R. Dufresne, M.D., P.C. | Past | Accepting new patients |
Locations
4701 Randolph Rd
Ste 201
Rockville, MD 20852
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
6801 Whittier Ave
Ste 301
McLean, VA 22101
Phone (703) 505-0444
1800 Town Center Dr
Ste 312
Reston, VA 20190
Phone (703) 796-0370
2200 Opitz Blvd
Ste 250
Woodbridge, VA 22191
Phone (703) 494-5858
2296 Opitz Blvd
Ste 280
Woodbridge, VA 22191
Phone (703) 730-3817
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 25520701 | NY | |
| Plastic Surgery Physician | 208200000X | D69897 | MD | |
| Plastic Surgery Physician | 208200000X | MD037908 | DC | |
| Plastic Surgery Physician | 208200000X | 0101249883 | VA | Yes |
Addresses
Primary practice location
4660 Kenmore Ave
Suite 220
Alexandria, VA 22304-1313
Mailing address
4660 Kenmore Ave
Suite 220
Alexandria, VA 22304-1313
Phone (703) 888-2034
Other practice location 1
6801 Whittier Ave Ste 301
Mc Lean, VA 22101-4549
Phone (703) 832-4000
Other practice location 2
4701 Randolph Rd Ste 201
Rockville, MD 20852-2261
Phone (301) 232-3000
Other providers in Alexandria, VA
- Eric Akumah
- Raya A Al Azzawi
- Ghandi Al Gharaibeh
- Al Nestor
- Husam T Al Samarah
- Hussain Ali Al-Humood
- Anas Al-Sabbagh
- Oliver Alabaster
- Bolutito Alade
- Sunya Ali Alam
All providers in Alexandria, VA · Plastic Surgery Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.