Individual provider Active NPI

Mariam Mathai, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Greenbelt, MD
National Provider Identifier
1346694668
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
MD048093 Issued in DC
Practice address
7501 Greenway Center Dr # 300
Greenbelt, MD 20770-3514
Phone
(301) 474-4679
Fax
(301) 474-7182
NPI assigned
Apr 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0107X 0101268948 VA
Retina Specialist (Ophthalmology) Physician 207WX0107X D0089331 MD
Student in an Organized Health Care Education/Training Program 390200000X
Retina Specialist (Ophthalmology) Physician 207WX0107X MD048093 DC Primary

Addresses

Primary practice location

7501 Greenway Center Dr # 300
Greenbelt, MD 20770-3514

Mailing address

7501 Greenway Center Dr # 300
Greenbelt, MD 20770-3514
Phone (301) 474-4679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20200603001913 DC Practitioner - Ophthalmology 7416378211 Reassigns benefits to 2 organizations
I20200603002121 MD Practitioner - Ophthalmology 7416378211 Reassigns benefits to 1 organization
I20200603002474 VA Practitioner - Ophthalmology 7416378211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Icahn School of Medicine at Mount Sinai, 2016
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

7130 Minstrel Way
Suite 120
Columbia, MD 21045-5329
Phone (410) 224-6680

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 surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD048093DCMDRetina Specialist (Ophthalmology) Physician
D0089331MDMDRetina Specialist (Ophthalmology) Physician
0101268948VAMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington National Eye Center Single Specialty CurrentSince Jul 20, 2020 Accepting new patients
The Retina Group of Washington, PLLC Retina Specialist CurrentSince Jul 1, 2020 Accepting new patients
The Retina Group of Washington, PLLC Single Specialty CurrentSince Jul 1, 2020 Accepting new patients

Locations

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

110 Irving St NW
Ste 1A
Washington, DC 20010

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

2002 Medical Pkwy
Ste 450
Annapolis, MD 21401
Phone (410) 224-6680

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

7130 Minstrel Way
Ste 120
Columbia, MD 21045
Phone (410) 997-4443

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

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

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

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

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

Interoperability endpoints

  • Direct secure messaging: mmathai618241@soc.inova.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1346694668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 GREENWAY CENTER DR # 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": "7501 GREENWAY CENTER DR # 300",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703514",
            "telephone_number": "301-474-4679",
            "fax_number": "301-474-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHAI",
        "first_name": "MARIAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-22",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "VA",
            "license": "0101268948",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MD",
            "license": "D0089331",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "DC",
            "license": "MD048093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.