Individual provider Active NPI

Stacy Jung Bang, M.D.

  • Ophthalmology Physician
  • Rockville, MD
National Provider Identifier
1053589499
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D67187 Issued in MD
Practice address
3204 Tower Oaks Blvd Ste 300
Rockville, MD 20852-4250
Phone
(301) 231-5088
Fax
(301) 231-5254
NPI assigned
Feb 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 121016 DC
Ophthalmology Physician 207W00000X D67187 MD Primary

Addresses

Primary practice location

3204 Tower Oaks Blvd Ste 300
Rockville, MD 20852-4250

Mailing address

3204 Tower Oaks Blvd Ste 300
Rockville, MD 20852-4250
Phone (301) 231-5088

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
I20090814000262 DC Practitioner - Ophthalmology 3476627035 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
George Washington University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington National Eye CenterGroup PAC ID 2264424043, 28 clinicians
Rockville Eye Associates, PCGroup PAC ID 3870486525, 3 clinicians

Practice addresses (Care Compare)

110 Irving St NW
1A19
Washington, DC 20010-3017
Phone (202) 877-5329

3204 Tower Oaks Blvd
Suite 300
Rockville, MD 20852-4250
Phone (301) 231-5088

Hospital & facility affiliations

  • Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011

Merit-based Incentive Payment System (MIPS)

Final score
85.24 of 100Reported as group
Quality
86.67
Improvement activities
40
Cost
68.58

Merit-based Incentive Payment System (MIPS)

Final score
82.97 of 100Reported as group
Quality
72.87
Promoting interoperability
100
Improvement activities
40
Cost
67.82

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery163

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
121016DCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Jul 1, 2021 Accepting new patients
MGMC, LLC Current Accepting new patients
Associated Retinal Consultants LLC Ophthalmology Current Accepting new patients
Medstar Medical Group II LLC CurrentSince Jul 1, 2021 Accepting new patients
Washington National Eye Center Ophthalmology CurrentSince Jan 30, 2010 Accepting new patients
Rockville Eye Associates, PC Ophthalmology CurrentSince Aug 1, 2023 Accepting new patients
Ladas Eye Group PA Ophthalmology CurrentSince Sep 1, 2009 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3800 Reservoir Rd NW
Ste Ll
Washington, DC 20007

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

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

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

3204 Tower Oaks Blvd
Ste 300
Rockville, MD 20852
Phone (301) 231-5008

2101 Medical Park Dr
Ste 101
Silver Spring, MD 20902
Phone (301) 681-6600

Interoperability endpoints

  • Direct secure messaging: drb@rea.direct.eyemdemr.com
  • Direct secure messaging: sbang@arcnj.intellechartdirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1053589499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 TOWER OAKS BLVD STE 300",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524250",
            "telephone_number": "301-231-5088",
            "fax_number": "301-231-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 TOWER OAKS BLVD STE 300",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524250",
            "telephone_number": "301-231-5088",
            "fax_number": "301-231-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANG",
        "first_name": "STACY",
        "middle_name": "JUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "121016",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D67187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.