Active NPI
David Pan, M.D.
- Retina Specialist (Ophthalmology) Physician
- Harrisonburg, VA
National Provider Identifier
1083854699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- 0101247898
- Practice address
- 1880 Reservoir St Ste a
Harrisonburg, VA 22801-8832 - Phone
- (540) 920-2020
- Fax
- (540) 920-0828
- NPI assigned
- Feb 23, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 0101247898 | VA | Primary |
Addresses
Primary practice location
1880 Reservoir St Ste a
Harrisonburg, VA 22801-8832
Mailing address
1880 Reservoir St Ste a
Harrisonburg, VA 22801-8832
Phone (540) 920-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47062669813 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Drexel University College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1880 Reservoir St
Suite a
Harrisonburg, VA 22801-8832
Phone (540) 920-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101247898 | VA | MD | Retina Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Retina Wellness and Surgery PLLC | Retina Specialist | Current | Accepting new patients |
| Peter Lou, M.D. P.C. | Ophthalmology | Past | Accepting new patients |
| Edward a Ryan, MD, PC | Ophthalmology | Past | Accepting new patients |
| Arnold J. Kroll,M.D.,P.C. | Past | Accepting new patients | |
| Lahey Clinic, Inc. | Past | Accepting new patients | |
| Sutton Skin and Eye Clinic PC | Past | Accepting new patients |
Locations
1880 Reservoir St
Ste A
Harrisonburg, VA 22801
Phone (540) 434-3668
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.
-
- Retina Specialist (Ophthalmology) Physician
- Harrisonburg, VA
- NPI 1174256648
-
- Specialist
- Boston, MA
- NPI 1326139759
-
- Ophthalmology Physician
- Winchester, MA
- NPI 1740289115
-
- Internal Medicine Physician
- Burlington, MA
- NPI 1538194980
-
- Ophthalmology Physician
- Boston, MA
- NPI 1477626190
-
- Dermatology Physician
- Lincoln, NE
- NPI 1881690261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662076800000",
"number": "1083854699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1880 RESERVOIR ST STE A",
"city": "HARRISONBURG",
"state": "VA",
"postal_code": "228018832",
"telephone_number": "540-920-2020",
"fax_number": "540-920-0828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1880 RESERVOIR ST STE A",
"city": "HARRISONBURG",
"state": "VA",
"postal_code": "228018832",
"telephone_number": "540-920-2020",
"fax_number": "540-920-0828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAN",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-23",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "VA",
"license": "0101247898",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47062669813",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisonburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.