Craig R Dufresne, M.D., F.A.C.S.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

0101043817 Issued in VA

Practice address

8501 Arlington Blvd Ste 420
Fairfax, VA 22031-4625

Phone

(703) 207-3065

Fax

(703) 207-2002

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

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

Specialty

Plastic and Reconstructive Surgery

Education

Columbia University College of Physicians and Surgeons, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sibley Memorial Hospital Hospital, Washington, DC, CCN 090005

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Craig R. Dufresne, M.D., P.C.

  • Plastic and Reconstructive Surgery Physician
  • Fairfax, VA
  • NPI 1992149686
  NPD (past) Authorized official
• Craig R. Dufresne, M.D., P.C.

  • Plastic and Reconstructive Surgery Physician
  • Chevy Chase, MD
  • NPI 1245674936
  NPD (past) Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lucy Webb Hayes National Training School for Deaconesses & Missionarie

  • General Acute Care Hospital
  • Washington, DC
  • NPI 1366492977
  Care Compare affiliation

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1972525392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 ARLINGTON BLVD STE 420",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314625",
            "telephone_number": "703-207-3065",
            "fax_number": "703-207-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 ARLINGTON BLVD STE 420",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314625",
            "telephone_number": "703-207-3065",
            "fax_number": "703-207-2002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5530 Wisconsin Ave Ste 1208",
            "address_purpose": "LOCATION",
            "city": "Chevy Chase",
            "state": "MD",
            "postal_code": "208154301",
            "country_code": "US",
            "telephone_number": "301-654-9151",
            "fax_number": "703-207-3065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUFRESNE",
        "first_name": "CRAIG",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "52-2003266",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "DC",
            "license": "MD17938",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MD",
            "license": "D0032266",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "VA",
            "license": "0101043817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Angela N Duco, NP
• Catherine Elizabeth Dudek, DPT
• Stephanie Dudley
• Shelby Marie Duffer, MS, CGC
• Lynn F Duffy, M.D.
• Mary L Duggan, NP
• Lorena Dujmusic, MGCS, LCGC
• Lauren Dukes, LCSW, LICSW
• Matthew Joseph Dulan, PA-C
• Nadine Dulko

• Plastic and Reconstructive Surgery Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Plastic and Reconstructive Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.