Individual provider Active NPI

Aziz Alexander Khanifar, MD

  • Retina Specialist (Ophthalmology) Physician
  • Silver Spring, MD
National Provider Identifier
1053327445
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
D71222 Issued in MD
Practice address
8630 Fenton St Ste 1104
Retina Group of Washington
Silver Spring, MD 20910-3836
Phone
(301) 495-2357
Fax
(301) 495-2359
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD038882 DC
Retina Specialist (Ophthalmology) Physician 207WX0107X MD038882 DC
Ophthalmology Physician 207W00000X D71222 MD
Retina Specialist (Ophthalmology) Physician 207WX0107X 0101239747 VA
Retina Specialist (Ophthalmology) Physician 207WX0107X D71222 MD Primary

Addresses

Primary practice location

8630 Fenton St Ste 1104
Retina Group of Washington
Silver Spring, MD 20910-3836

Mailing address

7501 Greenway Center Dr # 300
Retina Group of Washington
Greenbelt, MD 20770-3514
Phone (301) 441-4577

Other identifiers 3

IdentifierTypeStateIssuer
1053327445MedicaidVA
513401300MedicaidMD
054078300MedicaidDC

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
I20110304000249 DC Practitioner - Ophthalmology 1850396722 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Southern California Keck School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Retina Group of Washington PLLCGroup PAC ID 5294702692, 78 clinicians

Practice addresses (Care Compare)

8630 Fenton St
Suite 410
Silver Spring, MD 20910-3828
Phone (301) 495-2357

Merit-based Incentive Payment System (MIPS)

Final score
93.14 of 100Reported as group
Quality
99.47
Promoting interoperability
100
Improvement activities
40
Cost
77.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD038882DCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington National Eye Center Ophthalmology CurrentSince Jan 3, 2011 Accepting new patients
Children'S Hospital CurrentSince Sep 7, 2013 Accepting new patients
The Retina Group of Washington, PLLC Ophthalmology CurrentSince Sep 27, 2010 Accepting new patients
Children'S Hospital Current Accepting new patients
The Retina Group of Washington, PLLC Ophthalmology CurrentSince Sep 27, 2010 Accepting new patients
Children'S Hospital CurrentSince Sep 7, 2013 Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

110 Irving St NW
#1A19
Washington, DC 20010
Phone (202) 877-5329

9131 Piscataway Rd
Ste 500
Clinton, MD 20735
Phone (301) 868-8747

7501 Greenway Center Dr
Ste 300
Greenbelt, MD 20770
Phone (301) 441-4577

8630 Fenton St
Ste 410
Silver Spring, MD 20910
Phone (301) 495-2357

8630 Fenton St
Ste 1104
Silver Spring, MD 20910
Phone (301) 495-2357

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

10530 Linden Lake Plz
Ste 305
Manassas, VA 20109
Phone (703) 257-9270

Organizations & group practices 6

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1053327445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 GREENWAY CENTER DR # 300",
            "address_2": "RETINA GROUP OF WASHINGTON",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703514",
            "telephone_number": "301-441-4577",
            "fax_number": "301-474-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 FENTON ST STE 1104",
            "address_2": "RETINA GROUP OF WASHINGTON",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103836",
            "telephone_number": "301-495-2357",
            "fax_number": "301-495-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANIFAR",
        "first_name": "AZIZ",
        "middle_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "MD038882",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "DC",
            "license": "MD038882",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D71222",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "VA",
            "license": "0101239747",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MD",
            "license": "D71222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053327445",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "513401300",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054078300",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.