Active NPI
Frank Anthony Spellman, M.D.
- Retina Specialist (Ophthalmology) Physician
- Washington, DC
National Provider Identifier
1174519615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- MD14019
- Practice address
- 660 Pennsylvania Ave SE
Washington, DC 20003-4346 - Phone
- (201) 331-1188
- Fax
- (202) 833-8872
- NPI assigned
- Sep 20, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | D0047384 | MD | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | MD14019 | DC | Primary |
Addresses
Primary practice location
660 Pennsylvania Ave SE
Washington, DC 20003-4346
Mailing address
7501 Greenway Center Dr # 300
Greenbelt, MD 20770-3514
Phone (301) 474-4679
Other practice location 1
901 A St NE
Washington, DC 20002-6268
Phone (202) 331-1188
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023752700 | Medicaid | DC | |
| 1174519615 | Medicaid | VA | |
| 377111300 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0047384 | MD | MD | Ophthalmology Physician |
| MD14019 | DC | MD | Retina Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington National Eye Center | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Washington, DC
- NPI 1437175684
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574726400000",
"number": "1174519615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7501 GREENWAY CENTER DR # 300",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207703514",
"telephone_number": "301-474-4679",
"fax_number": "301-474-7182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 PENNSYLVANIA AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200034346",
"telephone_number": "201-331-1188",
"fax_number": "202-833-8872"
}
],
"practiceLocations": [
{
"address_1": "901 A St NE",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200026268",
"country_code": "US",
"telephone_number": "202-331-1188",
"fax_number": "202-833-8872",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPELLMAN",
"first_name": "FRANK",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2019-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MD",
"license": "D0047384",
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology, Retina Specialist",
"state": "DC",
"license": "MD14019",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "023752700",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1174519615",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "377111300",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.