Individual provider Active NPI

Anna Park, MD

  • Ophthalmology Physician
  • Silver Spring, MD
National Provider Identifier
1295730521
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0061228 Issued in MD
Practice address
8630 Fenton St Ste 514
Silver Spring, MD 20910-3833
Phone
(301) 587-1220
Fax
(301) 587-1269
NPI assigned
Jun 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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 D0061228 MD Primary
Ophthalmology Physician 207W00000X MD034716 DC

Addresses

Primary practice location

8630 Fenton St Ste 514
Silver Spring, MD 20910-3833

Mailing address

10902 Sugarbush Ter
Rockville, MD 20852-3239

Other identifiers 1

IdentifierTypeStateIssuer
036027400MedicaidDC

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
I20040510001078 DC Practitioner - Ophthalmology 3375532864 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Virginia Commonwealth University, School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington National Eye CenterGroup PAC ID 2264424043, 28 clinicians

Practice addresses (Care Compare)

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

8630 Fenton St
Suite 410
Silver Spring, MD 20910-3828
Phone (301) 495-2357

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.14 of 100Reported as group
Quality
99.47
Promoting interoperability
100
Improvement activities
40
Cost
77.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0061228MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Retina Group of Washington, PLLC Ophthalmology CurrentSince Aug 1, 2022 Accepting new patients
Washington National Eye Center Ophthalmology CurrentSince Sep 1, 2004 Accepting new patients
The Retina Group of Washington, PLLC Ophthalmology CurrentSince Aug 1, 2022 Accepting new patients
Associated Retinal Consultants LLC Ophthalmology Current Accepting new patients

Locations

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

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

8630 Fenton St
Ste 514
Silver Spring, MD 20910
Phone (301) 587-1220

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

3110 Gracefield Rd
Silver Spring, MD 20904
Phone (301) 572-8340

Interoperability endpoints

  • Direct secure messaging: apark@arcnj.intellechartdirect.net

Organizations & group practices 4

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": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1295730521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10902 SUGARBUSH TER",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523239",
            "fax_number": "202-291-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 FENTON ST STE 514",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103833",
            "telephone_number": "301-587-1220",
            "fax_number": "301-587-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0061228",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "MD034716",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036027400",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.