Individual provider Active NPI

Justin Daniel Shortell, M.D.

  • Glaucoma Specialist (Ophthalmology) Physician
  • Washington, DC
National Provider Identifier
1265995492
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
MD500002813 Issued in DC
Practice address
4910 Massachusetts Ave NW
Ste 21
Washington, DC 20016-4360
Phone
(202) 686-6700
Fax
(202) 464-0208
NPI assigned
Apr 14, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101281873 VA
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X MD500002813 DC Primary

Addresses

Primary practice location

4910 Massachusetts Ave NW
Ste 21
Washington, DC 20016-4360

Mailing address

4910 Massachusetts Ave NW
Ste 21
Washington, DC 20016-4360
Phone (202) 686-6700

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240809001694 DC Practitioner - Ophthalmology 0244697126 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Hawaii John a. Burns School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington National Eye CenterGroup PAC ID 2264424043, 28 clinicians
Eye Associates of Washington, DC PCGroup PAC ID 4486668555, 5 clinicians

Practice addresses (Care Compare)

110 Irving St NW
1A19
Washington, DC 20010-3017
Phone (202) 877-5329

4910 Massachusetts Ave NW
Suite 21
Washington, DC 20016-4360
Phone (202) 686-6700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.44 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.81

Merit-based Incentive Payment System (MIPS)

Final score
82.11 of 100Reported as group
Quality
78.1
Promoting interoperability
89
Improvement activities
40
Cost
71.45

Merit-based Incentive Payment System (MIPS)

Final score
87.34 of 100Reported as group
Quality
80.85
Promoting interoperability
100
Improvement activities
40
Cost
76.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101281873VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Washington, DC PC Ophthalmology CurrentSince Sep 16, 2024 Accepting new patients
Washington National Eye Center Ophthalmology CurrentSince Sep 15, 2024 Accepting new patients

Locations

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

4910 Massachusetts Ave NW
Ste 21
Washington, DC 20016
Phone (202) 686-6700

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

8330 Boone Blvd
Ste 160
Vienna, VA 22182
Phone (301) 648-6555

Interoperability endpoints

  • Direct secure messaging: jshortell@eyedoctorsofdc.intellechartdirect.net

Organizations & group practices 2

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": "1555200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1265995492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 MASSACHUSETTS AVE NW",
            "address_2": "STE 21",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164360",
            "telephone_number": "202-686-6700",
            "fax_number": "202-464-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 MASSACHUSETTS AVE NW",
            "address_2": "STE 21",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164360",
            "telephone_number": "202-686-6700",
            "fax_number": "202-464-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORTELL",
        "first_name": "JUSTIN",
        "middle_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-14",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101281873",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "DC",
            "license": "MD500002813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.