Individual provider Active NPI

John Phillip Essepian III, M.D.

  • Ophthalmology Physician
  • Fairfax, VA
National Provider Identifier
1376766816
Registry record updated Feb 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101051247 Issued in VA
Practice address
3031 Javier Rd Ste 300
Fairfax, VA 22031-4638
Phone
(703) 698-8880
Fax
(703) 698-8884
NPI assigned
Apr 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 0101051247 VA
Ophthalmology Physician 207W00000X 0101051247 VA Primary

Addresses

Primary practice location

3031 Javier Rd Ste 300
Fairfax, VA 22031-4638

Mailing address

3031 Javier Rd
Ste 300
Fairfax, VA 22031-4637
Phone (703) 698-8880

Other practice location 1

5249 Duke St Ste 5255
Alexandria, VA 22304-2926
Phone (703) 823-5205

Other identifiers 1

IdentifierTypeStateIssuer
0101051247OtherVAMEDICAL LICENSE

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
I20071101000495 DC Practitioner - Ophthalmology 2062451958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Georgetown University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians and Surgeons IncGroup PAC ID 8820133929, 3 clinicians

Practice addresses (Care Compare)

3031 Javier Rd
Suite 300
Fairfax, VA 22031-4638
Phone (703) 698-8880

Merit-based Incentive Payment System (MIPS)

Final score
75.03 of 100Reported as group
Quality
54.56
Improvement activities
40
Cost
77.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery566

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101051247VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians and Surgeons Inc Ophthalmology CurrentSince Jan 2, 2010 Accepting new patients
Northern Virginia Eye Surgery Center, LLC Current Accepting new patients
Fairfax Eye Associates Inc Ophthalmology PastSince Jan 1, 2008 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Associates in Eyecare Bristow PC Past Accepting new patients

Locations

5249 Duke St
Ste 5255
Alexandria, VA 22304
Phone (703) 823-5205

3031 Javier Rd
Ste 300
Fairfax, VA 22031
Phone (703) 698-8800

Interoperability endpoints

  • Direct secure messaging: jessepian@eps1959.srs-direct.com

Organizations & group practices 5

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550966400000",
    "number": "1376766816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 JAVIER RD",
            "address_2": "STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314637",
            "telephone_number": "703-698-8880",
            "fax_number": "703-698-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 JAVIER RD STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314638",
            "telephone_number": "703-698-8880",
            "fax_number": "703-698-8884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5249 Duke St Ste 5255",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223042926",
            "country_code": "US",
            "telephone_number": "703-823-5205",
            "fax_number": "703-823-9391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESSEPIAN",
        "first_name": "JOHN",
        "middle_name": "PHILLIP",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2019-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "VA",
            "license": "0101051247",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101051247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "0101051247",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.