Active NPI
Deborah Yvonne Wilson, M.D.
- Ophthalmology Physician
- Riverdale, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- D0050068
- Practice address
- 6510 Kenilworth Ave
Suite 1300
Riverdale, MD 20737-1339 - Phone
- (301) 699-1882
- Fax
- (301) 209-9456
- NPI assigned
- May 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | D0050068 | MD | Primary |
Addresses
Primary practice location
6510 Kenilworth Ave
Suite 1300
Riverdale, MD 20737-1339
Mailing address
6510 Kenilworth Ave
Suite 1300
Riverdale, MD 20737-1339
Phone (301) 699-1882
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Duke University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (202) 339-0001
6510 Kenilworth Ave
Suite 1300
Riverdale, MD 20737-1339
Phone (301) 699-1882
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.51 of 100
- Quality
- 69.38
- Improvement activities
- 40
- Cost
- 65.86
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 81 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0050068 | MD | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye One Surgical Assoc | Ophthalmology | Current | Accepting new patients |
Locations
3800 Reservoir Rd NW
Bldg Phc
Washington, DC 20007
Phone (202) 339-0001
3800 Reservoir Rd NW
Ph
Washington, DC 20007
Phone (202) 339-0001
6510 Kenilworth Ave
Ste 1300
Riverdale, MD 20737
Phone (301) 699-1166
Interoperability endpoints
- deborah.wilson-umanzor.1@926.direct.athenahealth.com
- https://api.platform.athenahealth.com/926/brand/1/csg/1/fhir/r4
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 1720180276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193529600000",
"number": "1174578744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6510 KENILWORTH AVE",
"address_2": "SUITE 1300",
"city": "RIVERDALE",
"state": "MD",
"postal_code": "207371339",
"telephone_number": "301-699-1882",
"fax_number": "301-209-9456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6510 KENILWORTH AVE",
"address_2": "SUITE 1300",
"city": "RIVERDALE",
"state": "MD",
"postal_code": "207371339",
"telephone_number": "301-699-1882",
"fax_number": "301-209-9456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "DEBORAH",
"middle_name": "YVONNE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2007-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MD",
"license": "D0050068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverdale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2007; 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.