Individual provider Active NPI

Samir S. Rao, M.D.

  • Plastic Surgery Physician
  • Chevy Chase, MD
National Provider Identifier
1710111885
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
00075574 Issued in MD
Practice address
5550 Friendship Boulevard
Suite 130
Chevy Chase, MD 20815
Phone
(301) 652-7700
Fax
(301) 907-6590
NPI assigned
May 5, 2009
Last updated
Jul 3, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MD040885 DC
Plastic Surgery Physician 208200000X 0101253704 VA
Plastic Surgery Physician 208200000X 00075574 MD Primary

Addresses

Primary practice location

5550 Friendship Boulevard
Suite 130
Chevy Chase, MD 20815

Mailing address

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

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
I20130621000035 DC Practitioner - Plastic and Reconstructive Surgery 7810136991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
George Washington University School of Medicine, 2007
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
Mastectomy20
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00075574MDMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Plastic Surgery, PC Plastic Surgery CurrentSince Jul 15, 2013 Accepting new patients
CPS Partners LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

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

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": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372809600000",
    "number": "1710111885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 FRIENDSHIP BOULEVARD",
            "address_2": "SUITE 130",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "20815",
            "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 BOULEVARD",
            "address_2": "SUITE 130",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "20815",
            "telephone_number": "301-652-7700",
            "fax_number": "301-907-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "SAMIR",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-05",
        "last_updated": "2013-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "DC",
            "license": "MD040885",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "0101253704",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MD",
            "license": "00075574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.