Individual provider Active NPI

Jerry W Chao, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Washington, DC
National Provider Identifier
1689815540
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
MD042951 Issued in DC
Practice address
2300 M St NW
Washington, DC 20037-1434
Phone
(202) 741-2365
NPI assigned
Mar 23, 2009
Last updated
May 24, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X MD042951 DC Primary

Addresses

Primary practice location

2300 M St NW
Washington, DC 20037-1434

Mailing address

2300 M St NW
Washington, DC 20037-1434
Phone (202) 741-2365

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
I20150602000565 DC Practitioner - Plastic and Reconstructive Surgery 6901127034 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
JS Weill Medical College, Cornell University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Faculty Associates, IncGroup PAC ID 4082528898, 676 clinicians

Practice addresses (Care Compare)

2300 M St NW
Washington, DC 20037-1434
Phone (202) 677-6990

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital CurrentSince May 13, 2015 Accepting new patients
Medical Faculty Associates, Inc CurrentSince Jun 3, 2016 Accepting new patients
Children's Hospital CurrentSince May 13, 2015 Accepting new patients
Children's Hospital Current Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 884-4177

2300 M St NW
Washington, DC 20037
Phone (202) 741-2222

2300 M St NW
Fl 6
Washington, DC 20037
Phone (202) 677-6990

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

Interoperability endpoints

  • Direct secure messaging: jchao19532@gwmfa.direct-ci.com

Organizations & group practices 4

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 1

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": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1689815540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 M ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371434",
            "telephone_number": "202-741-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 M ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371434",
            "telephone_number": "202-741-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAO",
        "first_name": "JERRY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-23",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "DC",
            "license": "MD042951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.