Individual provider Active NPI

Melanie J Buttross, MD

  • Ophthalmology Physician
  • Washington, DC
National Provider Identifier
1023086592
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD19025 Issued in DC
Practice address
4910 Massachusetts Ave NW
Ste 21
Washington, DC 20016-4360
Phone
(202) 686-6700
Fax
(202) 537-1442
NPI assigned
Mar 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D0047865 MD
Ophthalmology Physician 207W00000X 0101046588 VA
Ophthalmology Physician 207W00000X MD19025 DC Primary

Addresses

Primary practice location

4910 Massachusetts Ave NW
Ste 21
Washington, DC 20016-4360

Mailing address

4910 Massachusetts Ave NW
Ste 21
Washington, DC 20016-4360
Phone (202) 686-6700

Other identifiers 2

IdentifierTypeStateIssuer
6375588MedicaidVA
B365OtherDCCAREFIRST BCBS

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
I20100927000251 DC Practitioner - Ophthalmology 6901922087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of Washington, DC PCGroup PAC ID 4486668555, 5 clinicians

Practice addresses (Care Compare)

8330 Boone Blvd
Suite 160
Vienna, VA 22182-2678
Phone (703) 442-8129

Merit-based Incentive Payment System (MIPS)

Final score
92.44 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery261

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD19025DCMDOphthalmology Physician
D0047865MDMDOphthalmology Physician
0101046588VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Washington, DC PC Ophthalmology CurrentSince Aug 2, 1991 Accepting new patients
Washington National Eye Center Ophthalmology Past Accepting new patients

Locations

4910 Massachusetts Ave NW
Ste 215
Washington, DC 20016
Phone (202) 953-0990

4910 Massachusetts Ave NW
Ste 21
Washington, DC 20016
Phone (202) 686-6700

8330 Boone Blvd
Ste 160
Vienna, VA 22182
Phone (301) 648-6555

Organizations & group practices 2

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1023086592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 MASSACHUSETTS AVE NW",
            "address_2": "STE 21",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164360",
            "telephone_number": "202-686-6700",
            "fax_number": "202-537-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 MASSACHUSETTS AVE NW",
            "address_2": "STE 21",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164360",
            "telephone_number": "202-686-6700",
            "fax_number": "202-537-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTROSS",
        "first_name": "MELANIE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0047865",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101046588",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "MD19025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6375588",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "B365",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.