Diabetic Eye & Macular Disease Specialists LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

DIABETIC EYE & MACULAR DISEASE SPECIALISTS LLC

Practice address

1160 Varnum St NE
Suite 208
Washington, DC 20017-2107

Phone

(202) 399-1616

Fax

(866) 265-5635

NPI assigned

Feb 4, 2015

Last updated

Dec 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeevan Mathura Jr., MDNPI 1861421521

Title

Sole Owner

Phone

(202) 506-3479

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11154/brand/1/csg/1/fhir/r4

Practitioners 1

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.

• Jeevan Mathura Jr., MD

  • Ophthalmology Physician
  • Washington, DC
  • NPI 1861421521
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1225428865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 VARNUM ST NE",
            "address_2": "SUITE 208",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172107",
            "telephone_number": "202-399-1616",
            "fax_number": "866-265-5635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 VARNUM ST NE",
            "address_2": "SUITE 208",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172107",
            "telephone_number": "202-399-1616",
            "fax_number": "866-265-5635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC EYE & MACULAR DISEASE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "MATHURA",
        "authorized_official_first_name": "JEEVAN",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "202-506-3479",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Di Pinto
• Deanna Di Silvio
• Aissatou Dia, HHA
• Khalil J Diab, MD
• Yaser Ameen Diab, M.D.
• Fatoumata Diaby
• Oumou Diaby
• Sali Diaby, MD, CNA
• Khady Diack
• Darcy Marie Diago Blanco, MD

• Ophthalmology Physician in Washington, DC
• Providers in Washington, DC by specialty
• Ophthalmology Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.