Individual provider Active NPI

Craig Rezac, MD

  • Colon & Rectal Surgery Physician
  • Arlington, VA
National Provider Identifier
1730258294
Registry record updated Feb 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
0101262770 Issued in VA
Practice address
1625 N George Mason Dr Ste 334
Arlington, VA 22205-3690
Phone
(703) 717-4180
Fax
(703) 717-4181
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MA06952500 NJ
Colon & Rectal Surgery Physician 208C00000X 25MA06952500 NJ
Colon & Rectal Surgery Physician 208C00000X 0101262770 VA Primary

Addresses

Primary practice location

1625 N George Mason Dr Ste 334
Arlington, VA 22205-3690

Mailing address

1625 N George Mason Dr Ste 334
Arlington, VA 22205-3690
Phone (703) 717-4180

Other identifiers 1

IdentifierTypeStateIssuer
0069795MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address crezac12482@direct.virginiahospitalcenter.net Direct

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
I20170731001377 DC Practitioner - Colorectal Surgery (Proctology) 4183674773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virginia Hospital Center Physician Group LLCGroup PAC ID 8426231119, 350 clinicians

Practice addresses (Care Compare)

1625 N George Mason Dr
334 VA Hosp Ctr Phy GRP Colorectal Surgery
Arlington, VA 22205-3684
Phone (703) 717-4180

Hospital & facility affiliations

  • Avalon in Home Nursing and Rehabilitation LLC Home health agency, Falls Church, VA, CCN 497752
  • Virginia Hospital Center Hospital, Arlington, VA, CCN 490050

Merit-based Incentive Payment System (MIPS)

Final score
80.33 of 100Reported as group
Quality
74.39
Promoting interoperability
87
Improvement activities
40
Cost
70.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Hospital Center Physician Group LLC CurrentSince Aug 31, 2017 Accepting new patients
Virginia Hospital Center Physician Group, LLC CurrentSince Aug 31, 2017 Accepting new patients
Virginia Hospital Center Physician Group LLC Past Accepting new patients

Locations

3475 N Beauregard St
Ste 201
Alexandria, VA 22302
Phone (703) 506-8590

1625 N George Mason Dr
Ste 454
Arlington, VA 22205
Phone (703) 717-4180

1625 N George Mason Dr
Ste 334
Arlington, VA 22205
Phone (703) 717-4180

1851 N George Mason Dr
Ste 4C
Arlington, VA 22207
Phone (703) 717-4250

1851 N George Mason Dr
Ste 4D
Arlington, VA 22207
Phone (703) 717-4180

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

3025 Hamaker Ct
Ste 250
Fairfax, VA 22031
Phone (703) 717-4175

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612656000000",
    "number": "1730258294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 N GEORGE MASON DR STE 334",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053690",
            "telephone_number": "703-717-4180",
            "fax_number": "703-717-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N GEORGE MASON DR STE 334",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053690",
            "telephone_number": "703-717-4180",
            "fax_number": "703-717-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZAC",
        "first_name": "CRAIG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2021-02-07",
        "certification_date": "2021-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA06952500",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NJ",
            "license": "25MA06952500",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "VA",
            "license": "0101262770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0069795",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crezac12482@direct.virginiahospitalcenter.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "LOINC 34133-9",
            "address_1": "1625 N George Mason Dr Ste 334",
            "city": "Arlington",
            "state": "VA",
            "country_code": "US",
            "postal_code": "222053690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.