Individual provider Active NPI

Monica Y. Allen, M.D.

  • Ophthalmology Physician
  • Duluth, GA
National Provider Identifier
1164460283
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
066561 Issued in GA
Practice address
3650 Steve Reynolds Blvd.
Kaiser Permanente Gwinnett Medical Center
Duluth, GA 30096
Phone
(313) 577-8900
NPI assigned
Jun 2, 2006
Last updated
Sep 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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 066561 GA Primary
Ophthalmology Physician 207W00000X 4301064204 MI

Addresses

Primary practice location

3650 Steve Reynolds Blvd.
Kaiser Permanente Gwinnett Medical Center
Duluth, GA 30096

Mailing address

12200 Anapolis Road
Suite 116
Glenn Dale, MD 20769
Phone (301) 805-4664

Other names 1

  • Dr. Monica Y. Alexander Former name

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
I20210913000629 DC Practitioner - Ophthalmology 6608764568 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington National Eye CenterGroup PAC ID 2264424043, 28 clinicians
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

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

3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (202) 444-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
066561GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Oct 1, 2025 Accepting new patients
Washington National Eye Center Ophthalmology CurrentSince Nov 1, 2023 Accepting new patients
Medstar Medical Group II LLC CurrentSince Oct 1, 2025 Accepting new patients
Advanced Eye Care Medical Center, PA Ophthalmology CurrentSince Oct 1, 2022 Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients
University Physician Group Ophthalmology Past Accepting new patients
Northwest Eye Foundation Ophthalmology Past Accepting new patients

Locations

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

110 Irving St NW
Ste 1A
Washington, DC 20010

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

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

12200 Annapolis Rd
Glenn Dale, MD 20769
Phone (301) 805-4664

12200 Annapolis Rd
Ste 116
Glenn Dale, MD 20769
Phone (301) 571-0000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2410/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1164460283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 ANAPOLIS ROAD",
            "address_2": "SUITE 116",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "20769",
            "telephone_number": "301-805-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 STEVE REYNOLDS BLVD.",
            "address_2": "KAISER PERMANENTE GWINNETT MEDICAL CENTER",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "30096",
            "telephone_number": "313-577-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "MONICA",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "066561",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301064204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "ALEXANDER",
            "middle_name": "Y.",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.