Individual provider Active NPI

Juanita Sonya Bryant, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Washington, DC
National Provider Identifier
1235388679
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
MD040362 Issued in DC
Practice address
660 Pennsylvania Ave SE
Washington, DC 20003-4346
Phone
(202) 331-1188
Fax
(202) 833-8872
NPI assigned
Sep 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A103452 CA
Ophthalmology Physician 207W00000X MD040362 DC
Retina Specialist (Ophthalmology) Physician 207WX0107X D073928 MD
Retina Specialist (Ophthalmology) Physician 207WX0107X 0101251552 VA
Retina Specialist (Ophthalmology) Physician 207WX0107X MD040362 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

8219 Leesburg Pike Ste 120
Vienna, VA 22182-2625
Phone (703) 564-4300

Other identifiers 3

IdentifierTypeStateIssuer
092018700MedicaidDC
A103452OtherCATHE MEDICAL BOARD OF CALIFORNIA
1235388679MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120711000396 DC Practitioner - Ophthalmology 6608909270 Reassigns benefits to 2 organizations
I20120723000001 VA Practitioner - Ophthalmology 6608909270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

660 Pennsylvania Ave SE
Suite 200
Washington, DC 20003-4361
Phone (202) 331-1188

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as individual
Quality
90.92
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A103452CAMDOphthalmology Physician
D073928MDMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Retina Group of Washington, PLLC Ophthalmology CurrentSince Jul 1, 2012 Accepting new patients
The Retina Group of Washington, PLLC Ophthalmology CurrentSince Jul 1, 2012 Accepting new patients
Washington National Eye Center Ophthalmology CurrentSince Nov 29, 2012 Accepting new patients

Locations

110 Irving St NW
Ste 1A
Washington, DC 20010

660 Pennsylvania Ave SE
Washington, DC 20003
Phone (202) 546-4504

660 Pennsylvania Ave SE
Ste 200
Washington, DC 20003
Phone (202) 331-1188

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

5454 Wisconsin Ave
Ste 650
Chevy Chase, MD 20815
Phone (301) 656-8100

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

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

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

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

10530 Linden Lake Plz
Ste 305
Manassas, VA 20109
Phone (703) 257-9270

8219 Leesburg Pike
Ste 120
Vienna, VA 22182
Phone (703) 564-4300

Organizations & group practices 3

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.

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": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1235388679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 GREENWAY CENTER DR",
            "address_2": "#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": "202-331-1188",
            "fax_number": "202-833-8872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8219 Leesburg Pike Ste 120",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221822625",
            "country_code": "US",
            "telephone_number": "703-564-4300",
            "fax_number": "703-206-7238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "JUANITA",
        "middle_name": "SONYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A103452",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "MD040362",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MD",
            "license": "D073928",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "VA",
            "license": "0101251552",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "DC",
            "license": "MD040362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092018700",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE MEDICAL BOARD OF CALIFORNIA",
            "identifier": "A103452",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235388679",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.