Individual provider Active NPI

Michael Paul Vincent, MD

  • Plastic Surgery Physician
  • Rockville, MD
National Provider Identifier
1790782407
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
D24403 Issued in MD
Practice address
15245 Shady Grove Rd
Suite 155
Rockville, MD 20850-3222
Phone
(240) 912-4708
Fax
(240) 912-6992
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X D24403 MD Primary

Addresses

Primary practice location

15245 Shady Grove Rd
Suite 155
Rockville, MD 20850-3222

Mailing address

15245 Shady Grove Rd
Suite 155
Rockville, MD 20850-3222
Phone (240) 912-4708

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
I20101021000828 DC Practitioner - Plastic and Reconstructive Surgery 7719919547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Duke University School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affiliates in Plastic Surgery LLCGroup PAC ID 2365664117, 11 clinicians

Practice addresses (Care Compare)

15245 Shady Grove Rd
Suite 155
Rockville, MD 20850-6271
Phone (301) 232-3000

Merit-based Incentive Payment System (MIPS)

Final score
91.86 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.87

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision123
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D24403MDMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliates in Plastic Surgery, LLC Plastic Surgery CurrentSince Feb 1, 2023 Accepting new patients
Affiliates in Plastic Surgery, LLC CurrentSince Feb 1, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1790782407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15245 SHADY GROVE RD",
            "address_2": "SUITE 155",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503222",
            "telephone_number": "240-912-4708",
            "fax_number": "240-912-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15245 SHADY GROVE RD",
            "address_2": "SUITE 155",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503222",
            "telephone_number": "240-912-4708",
            "fax_number": "240-912-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MD",
            "license": "D24403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.