Marwan Riad Khalifeh, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

D58647 Issued in MD

Practice address

7601 Lewinsville Rd
Ste 300
MC Lean, VA 22102-2835

Phone

(301) 244-0148

Fax

(443) 964-5954

NPI assigned

Jul 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Reconstructive Institute, LLC

  dba Reconstructive Institute

  • Plastic and Reconstructive Surgery Physician
  • Falls Church, VA
  • NPI 1215525571

  DC

  Medicare reassignment NPD
• Breast and Body Solutions LLC

  dba DC Cosmetics

  • Medical Specialty Clinic/Center
  • McLean, VA
  • NPI 1659730356
  NPD Authorized official
• Tysons Surgical Services LLC

  • Plastic Surgery Physician
  • McLean, VA
  • NPI 1518750306
  NPD Authorized official
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1871526426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8180 GREENSBORO DR",
            "address_2": "STE 1015",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023860",
            "telephone_number": "301-244-0148",
            "fax_number": "301-244-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 LEWINSVILLE RD",
            "address_2": "STE 300",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221022835",
            "telephone_number": "301-244-0148",
            "fax_number": "443-964-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIFEH",
        "first_name": "MARWAN",
        "middle_name": "RIAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "MD",
            "license": "D58647",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "MD",
            "license": "D58647",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MD",
            "license": "D58647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin C. Granger, D.D.S., P.C.
• Cheryl L Keys, MD
• Keywords Speech Therapy LLC
• Amor Khachemoune, MD
• Karanpreet Kaur Khahera, DO
• Annum Khan, PA-C
• Hassan Khuram, MD
• Kyung Suk Ki, ETC
• Lyndsey Kiah, PT
• Kidney Care Integrated Services, LLC

• Plastic Surgery Physician in McLean, VA
• Providers in McLean, VA by specialty
• Plastic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.