Individual provider Active NPI

Amy Lynn Nicholas, MD

  • Ophthalmology Physician
  • Frederick, MD
National Provider Identifier
1407081680
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0075217 Issued in MD
Practice address
5283 Corporate Dr Ste 201
Frederick, MD 21703-2879
Phone
(301) 662-4545
Fax
(301) 662-4044
NPI assigned
May 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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 0101253214 VA
Ophthalmology Physician 207W00000X D0075217 MD Primary

Addresses

Primary practice location

5283 Corporate Dr Ste 201
Frederick, MD 21703-2879

Mailing address

5283 Corporate Dr Ste 201
Frederick, MD 21703-2879
Phone (301) 662-4545

Other practice location 1

9420 Key West Ave Ste 405
Rockville, MD 20850-6327
Phone (301) 610-2020

Other names 1

  • Amy Lynn Nicholas-Hwang Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20130808000441 DC Practitioner - Ophthalmology 7416199195 Reassigns benefits to 1 organization
I20200730002411 MD Practitioner - Ophthalmology 7416199195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Georgetown University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Retina Group of Washington PLLCGroup PAC ID 5294702692, 78 clinicians

Practice addresses (Care Compare)

5283 Corporate Dr
Suite 201
Frederick, MD 21703-2879
Phone (301) 662-4545

9601 Blackwell Rd
Suite 340
Rockville, MD 20850-3472
Phone (301) 610-2020

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 surgery403

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0075217MDMDOphthalmology Physician
0101253214VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Retina Group of Washington, PLLC Ophthalmology CurrentSince Jul 1, 2022 Accepting new patients
The Retina Group of Washington, PLLC Ophthalmology CurrentSince Jul 1, 2022 Accepting new patients
Associated Retinal Consultants LLC Ophthalmology Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Silk Vision and Surgical Center Ophthalmology Past Accepting new patients

Locations

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

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

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

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

5283 Corporate Dr
Ste 201
Frederick, MD 21703
Phone (301) 607-0101

9601 Blackwell Rd
Ste 340
Rockville, MD 20850
Phone (301) 610-2020

Interoperability endpoints

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

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": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1407081680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5283 CORPORATE DR STE 201",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217032879",
            "telephone_number": "301-662-4545",
            "fax_number": "301-662-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5283 CORPORATE DR STE 201",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217032879",
            "telephone_number": "301-662-4545",
            "fax_number": "301-662-4044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9420 Key West Ave Ste 405",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208506327",
            "country_code": "US",
            "telephone_number": "301-610-2020",
            "fax_number": "301-610-7428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-18",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101253214",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0075217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "NICHOLAS-HWANG",
            "middle_name": "LYNN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.