Individual provider Active NPI

Reza Shayesteh, M.D.

  • Plastic Surgery Physician
  • Bethesda, MD
National Provider Identifier
1801904297
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
D28794 Issued in MD
Practice address
5413 W Cedar LN
Suite 201C
Bethesda, MD 20814-1520
Phone
(301) 530-4144
Fax
(301) 530-7420
NPI assigned
Aug 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 D28794 MD Primary

Addresses

Primary practice location

5413 W Cedar LN
Suite 201C
Bethesda, MD 20814-1520

Mailing address

11036 Earlsgate LN
Rockville, MD 20852-4559
Phone (301) 530-1109

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
I20101111000570 DC Practitioner - Plastic and Reconstructive Surgery 0143415570 Practice locations: Bethesda, MD

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5413 W Cedar Lane
Suite 201C
Bethesda, MD 20814-1520
Phone (301) 530-4144

5413 W Cedar LN
Suite 201C
Bethesda, MD 20814-1520

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision36

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801904297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11036 EARLSGATE LN",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524559",
            "telephone_number": "301-530-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5413 W CEDAR LN",
            "address_2": "SUITE 201C",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141520",
            "telephone_number": "301-530-4144",
            "fax_number": "301-530-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAYESTEH",
        "first_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MD",
            "license": "D28794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.