Individual provider Active NPI

Anand Mantravadi, M.D.

  • Ophthalmology Physician
  • Chevy Chase, MD
National Provider Identifier
1063591402
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0089313 Issued in MD
Practice address
2 Wisconsin Cir Ste 230
Chevy Chase, MD 20815-7005
Phone
(301) 215-7100
NPI assigned
Nov 5, 2006
Last updated
Jan 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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 47737-020 WI
Ophthalmology Physician 207W00000X MD430918 PA
Ophthalmology Physician 207W00000X D0089313 MD Primary

Addresses

Primary practice location

2 Wisconsin Cir Ste 230
Chevy Chase, MD 20815-7005

Mailing address

2 Wisconsin Cir Ste 230
Chevy Chase, MD 20815-7005
Phone (301) 215-7100

Other practice location 1

216 Mill St
Bristol, PA 19007-4809
Phone (215) 781-2020

Other practice location 2

2 Wisconsin Cir Ste 230
Chevy Chase, MD 20815-7005
Phone (301) 215-7100

Other practice location 3

840 Walnut St.
Suite 1130
Philadelphia, PA 19107
Phone (215) 928-3190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DC2 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

Enrollment IDStateProvider typePAC IDDetails
I20070710000019 PA Practitioner - Ophthalmology 1658471453 Reassigns benefits to 1 organization
I20200624000131 DC Practitioner - Ophthalmology 1658471453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Doctors of Washington PCGroup PAC ID 5799758595, 15 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
335 Howard Jacobson MD
Washington, DC 20036-3717
Phone (202) 231-4044

2 Wisconsin Cir
Suite 500
Chevy Chase, MD 20815-7040
Phone (301) 215-7100

8230 Boone Blvd
Suite 215
Vienna, VA 22182-2621
Phone (703) 862-7104

Merit-based Incentive Payment System (MIPS)

Final score
52.79 of 100Reported as group
Quality
0
Improvement activities
40
Cost
75.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery233

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0089313MDMDOphthalmology Physician
47737-020WIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Surgical Associates Inc Ophthalmology CurrentSince Jun 27, 2017 Accepting new patients
Eye Doctors of Washington PC Ophthalmology CurrentSince Jul 1, 2020 Accepting new patients
Palisade Surgery Center LLC Past Accepting new patients

Locations

1016 16th St NW
Lowr
Washington, DC 20036
Phone (202) 659-2050

1145 19th St NW
Ste 335
Washington, DC 20036
Phone (202) 231-4044

4831 Cordell Ave
Bethesda, MD 20814
Phone (301) 657-8200

2 Wisconsin Cir
Ste 230
Chevy Chase, MD 20815
Phone (301) 281-4085

2 Wisconsin Cir
Ste 500
Chevy Chase, MD 20815

30 Medical Center Blvd
Ste 104
Chester, PA 19013
Phone (610) 619-8590

300 Evergreen Dr
Ste 100
Glen Mills, PA 19342

840 Walnut St
Ste 1110
Philadelphia, PA 19107
Phone (215) 440-3160

8230 Boone Blvd
Ste 125
Vienna, VA 22182
Phone (703) 962-7104

Interoperability endpoints

  • Direct secure messaging: anand.mantravadi.p1@direct.eabc.nextgenshare.com
  • Direct secure messaging: anand.mantravadi.p6@direct.katzeneye.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1063591402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WISCONSIN CIR STE 230",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208157005",
            "telephone_number": "301-215-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WISCONSIN CIR STE 230",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208157005",
            "telephone_number": "301-215-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 Mill St",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "PA",
            "postal_code": "190074809",
            "country_code": "US",
            "telephone_number": "215-781-2020",
            "fax_number": "215-788-3504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Wisconsin Cir Ste 230",
            "address_purpose": "LOCATION",
            "city": "Chevy Chase",
            "state": "MD",
            "postal_code": "208157005",
            "country_code": "US",
            "telephone_number": "301-215-7100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "840 Walnut St.",
            "address_2": "Suite 1130",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19107",
            "country_code": "US",
            "telephone_number": "215-928-3190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANTRAVADI",
        "first_name": "ANAND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "47737-020",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD430918",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0089313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.