Individual provider Active NPI

Andrew Jin, MD

  • Retina Specialist (Ophthalmology) Physician
  • Washington, DC
National Provider Identifier
1083173280
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
CS2100012920 Issued in DC
Practice address
660 Pennsylvania Ave SE Ste 200
Washington, DC 20003-4361
Phone
(202) 331-1188
NPI assigned
Mar 18, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 0101285962 VA
Retina Specialist (Ophthalmology) Physician 207WX0107X D0103392 MD
Retina Specialist (Ophthalmology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0107X CS2100012920 DC Primary

Addresses

Primary practice location

660 Pennsylvania Ave SE Ste 200
Washington, DC 20003-4361

Mailing address

660 Pennsylvania Ave SE
Washington, DC 20003-4346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MD, VA, DC4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20230619000585 NY Practitioner - Ophthalmology 5597123877 Reassigns benefits to 1 organization
I20250410002025 MD Practitioner - Ophthalmology 5597123877 Reassigns benefits to 1 organization
I20250430003491 VA Practitioner - Ophthalmology 5597123877 Reassigns benefits to 1 organization
I20250501003267 DC Practitioner - Ophthalmology 5597123877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Florida College of Medicine, 2019
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)

2002 Medical Pkwy
Suite 450
Annapolis, MD 21401-3263
Phone (410) 224-6680

660 Pennsylvania Ave SE
Suite 200
Washington, DC 20003-4361
Phone (202) 331-1188

Hospital & facility affiliations

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CS2100012920DCMDRetina Specialist (Ophthalmology) Physician
D0103392MDMDRetina Specialist (Ophthalmology) Physician
0101285962VAMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Single Specialty CurrentSince Jul 1, 2023 Accepting new patients
The Retina Group of Washington, PLLC Ophthalmology CurrentSince May 1, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai Single Specialty CurrentSince Jul 1, 2023 Accepting new patients
Associated Retinal Consultants LLC Single Specialty Current Accepting new patients
The Retina Group of Washington, PLLC Single Specialty CurrentSince May 1, 2025 Accepting new patients

Locations

660 Pennsylvania Ave SE
Ste 200
Washington, DC 20003
Phone (202) 331-1188

660 Pennsylvania Ave SE
Washington, DC 20003
Phone (202) 546-4504

2002 Medical Pkwy
Ste 450
Annapolis, MD 21401
Phone (410) 224-6680

16901 Melford Blvd
Ste 111
Bowie, MD 20715
Phone (301) 805-5395

5454 Wisconsin Ave
Ste 650
Chevy Chase, MD 20815
Phone (301) 656-8100

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

5283 Corporate Dr
Ste 201
Frederick, MD 21703
Phone (301) 607-0101

19735 Germantown Rd
Ste 100
Germantown, MD 20874
Phone (301) 917-6513

7501 Greenway Center Dr
Ste 700
Greenbelt, MD 20770
Phone (301) 441-4577

600 Jefferson Plz
Ste 320
Rockville, MD 20852
Phone (301) 315-2198

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

420 Mountain Ave
Fl 4
New Providnce, NJ 07974

150 E 42nd St
Fl 2
New York, NY 10017
Phone (646) 605-8119

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

17 E 102nd St
New York, NY 10029
Phone (212) 241-7968

6354 Walker Ln
Ste 100
Alexandria, VA 22310
Phone (703) 313-8822

8270 Willow Oaks Corporate Dr
Ste 6
Fairfax, VA 22031

1500 Dixon St
Ste 204
Fredericksburg, VA 22401
Phone (540) 654-5333

19500 Sandridge Way
Ste 430
Leesburg, VA 20176
Phone (703) 421-0931

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

1850 Town Center Pkwy
Ste 655
Reston, VA 20190
Phone (703) 953-3826

8219 Leesburg Pike
Ste 120
Vienna, VA 22182
Phone (703) 564-4300

4545 Daisy Reid Ave
Ste 150
Woodbridge, VA 22192
Phone (703) 468-4887

Interoperability endpoints

  • Direct secure messaging: ajin@arcnj.intellechartdirect.net

Organizations & group practices 5

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": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1083173280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 PENNSYLVANIA AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200034346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 PENNSYLVANIA AVE SE STE 200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200034361",
            "telephone_number": "202-331-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIN",
        "first_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "VA",
            "license": "0101285962",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MD",
            "license": "D0103392",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "DC",
            "license": "CS2100012920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.