Individual provider Active NPI

Jacqueline D. Griffiths, MD

  • Ophthalmology Physician
  • Reston, VA
National Provider Identifier
1104891373
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101051056 Issued in VA
Practice address
12110 Sunset Hills Rd
Suite C-50
Reston, VA 20190-5852
Phone
(703) 834-9777
Fax
(703) 834-8187
NPI assigned
Feb 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101051056 VA Primary

Addresses

Primary practice location

12110 Sunset Hills Rd
Suite C-50
Reston, VA 20190-5852

Mailing address

12110 Sunset Hills Rd
Suite C-50
Reston, VA 20190-5852
Phone (703) 834-9777

Other names 1

  • Dr. Jaqueline D. Griffiths Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20051122000539 DC Practitioner - Ophthalmology 3072592005 Reassigns benefits to 1 organization
I20230822000558 VA Practitioner - Ophthalmology 3072592005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Michigan Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jacqueline D Griffiths MD PCGroup PAC ID 6103845987, 3 clinicians

Practice addresses (Care Compare)

12110 Sunset Hills Rd
Suite C50
Reston, VA 20190-5879
Phone (703) 834-9777

20 Davis Ave SW
Leesburg, VA 20175-3824
Phone (703) 349-4599

Merit-based Incentive Payment System (MIPS)

Final score
91.2 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
70.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery194

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101051056VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flinton Callahan II M.D. & Associates Inc Ophthalmology PastSince Jan 1, 2012 Accepting new patients
Silk Vision and Surgical Center Ophthalmology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jgriffiths@newvieweye.intellechartdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1104891373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12110 SUNSET HILLS RD",
            "address_2": "SUITE C-50",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905852",
            "telephone_number": "703-834-9777",
            "fax_number": "703-834-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12110 SUNSET HILLS RD",
            "address_2": "SUITE C-50",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905852",
            "telephone_number": "703-834-9777",
            "fax_number": "703-834-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITHS",
        "first_name": "JACQUELINE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101051056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAQUELINE",
            "last_name": "GRIFFITHS",
            "middle_name": "D.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.