NPIMap

Organization Active NPI

The Retina Group of Washington, PLLC

  • Ophthalmology Physician
  • Greenbelt, MD
National Provider Identifier
1225001654
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
THE RETINA GROUP OF WASHINGTON, PLLC
Practice address
7501 Greenway Center Dr Ste 700
Greenbelt, MD 20770-6703
Phone
(301) 441-4577
NPI assigned
Feb 8, 2006
Last updated
May 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Steven Madreperla, MD, PHDNPI 1013925254
Title
President and Ceo
Phone
(908) 458-8333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X
Ophthalmology Physician 207W00000X Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X

Addresses

Primary practice location

7501 Greenway Center Dr Ste 700
Greenbelt, MD 20770-6703

Mailing address

420 Mountain Ave FL 4
New Providence, NJ 07974-2736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040915000226 DC Part B Supplier - Clinic/Group Practice 5294702692 Receives reassigned benefits from 65 practitioners
Practice locations: Silver Spring, MD; Washington, DC; Vienna, VA; Rockville, MD; Reston, VA; Greenbelt, MD; Alexandria, VA; Germantown, MD…
O20040927000584 VA Part B Supplier - Clinic/Group Practice 5294702692 Receives reassigned benefits from 40 practitioners
Practice locations: Fredericksburg, VA; Leesburg, VA; Manassas, VA; Woodbridge, VA
O20100312000017 MD Part B Supplier - Clinic/Group Practice 5294702692 Receives reassigned benefits from 50 practitioners
Practice locations: Westminster, MD; Pikesville, MD; Owings Mills, MD; Havre de Grace, MD; Glen Burnie, MD; Frederick, MD; Elkton, MD; Chestertown, MD…

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
The Retina Group of Was48 organizations share this tax ID, including this one

Other organizations with this tax ID 47

Organizations that report the same tax identification number in the National Provider Directory.

View all 47

Locations

16901 Melford Blvd
Ste 111
Bowie, MD 20715
Phone (301) 441-4577

5454 Wisconsin Ave
Ste 1540
Chevy Chase, MD 20815
Phone (301) 565-8100

9131 Piscataway Rd
Ste 500
Clinton, MD 20735
Phone (301) 868-8747

5283 Corporate Dr
Ste 201
Frederick, MD 21703
Phone (301) 607-0101

19735 Germantown Rd
Ste 100
Germantown, MD 20874
Phone (301) 917-6513

7501 Greenway Center Dr
Ste 300
Greenbelt, MD 20770
Phone (301) 441-4577

7501 Greenway Center Dr
Ste 700
Greenbelt, MD 20770
Phone (301) 441-4577

600 Jefferson Plz
Ste 320
Rockville, MD 20852
Phone (301) 315-2198

3110 Gracefield Rd
Ste 514
Silver Spring, MD 20904
Phone (301) 587-1220

8630 Fenton St
Ste 410
Silver Spring, MD 20910
Phone (301) 495-2357

6355 Walker Ln
Ste 503
Alexandria, VA 22310
Phone (703) 379-0700

6408 Grovedale Dr
Ste 101
Alexandria, VA 22310
Phone (703) 997-9710

8270 Willow Oaks Corporate Dr
Fairfax, VA 22031
Phone (571) 423-4250

8270 Willow Oaks Corporate Dr
Fl 6
Fairfax, VA 22031
Phone (703) 698-9335

8270 Willow Oaks Corporate Dr
Ste 6
Fairfax, VA 22031

8270 Willow Oaks Corporate Dr
Ste 600
Fairfax, VA 22031
Phone (703) 698-9335

1500 Dixon St
Ste 200
Fredericksburg, VA 22401
Phone (540) 654-5333

1850 Town Center Pkwy
Ste 655
Reston, VA 20190
Phone (703) 953-3826

20 Pidgeon Hill Dr
Ste 106
Sterling, VA 20165
Phone (703) 421-0931

21351 Ridgetop Cir
Ste 140
Sterling, VA 20166
Phone (703) 421-0931

4545 Daisy Reid Ave
Ste 150
Woodbridge, VA 22192
Phone (703) 468-4887

Practitioners & affiliated clinicians

Practitioners 94

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 94

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1225001654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 MOUNTAIN AVE FL 4",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079742736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 GREENWAY CENTER DR STE 700",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207706703",
            "telephone_number": "301-441-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RETINA GROUP OF WASHINGTON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "MADREPERLA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "908-458-8333",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.