Individual provider Active NPI

Fadi Philip Nasrallah, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Bethesda, MD
National Provider Identifier
1427055144
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
D0039747 Issued in MD
Practice address
6720A Rockledge Dr Ste 200
Bethesda, MD 20817-1888
Phone
(301) 530-5200
Fax
(301) 493-6577
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X D0039747 MD Primary

Addresses

Primary practice location

6720A Rockledge Dr Ste 200
Bethesda, MD 20817-1888

Mailing address

6410 Rockledge Dr
Suite 400
Bethesda, MD 20817-1842
Phone (301) 530-5200

Other practice location 1

6410 Rockledge Dr Ste 400
Bethesda, MD 20817-1842
Phone (301) 530-5200

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
I20110317000043 DC Practitioner - Ophthalmology 4981886652 Reassigns benefits to 1 organization
I20230717003552 MD Practitioner - Ophthalmology 4981886652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Eye Care LLCGroup PAC ID 4981947306, 12 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
Suite 500
Washington, DC 20036-3715
Phone (202) 833-1668

Merit-based Incentive Payment System (MIPS)

Final score
92.96 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD19366DCMDAnesthesiology Physician
D0039747MDMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Eye Care LLC Retina Specialist Current Accepting new patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Sinai Hospital of Baltimore Inc Retina Specialist CurrentSince Jul 17, 2023 Accepting new patients
Capital Eye Care LLC Retina Specialist CurrentSince Jul 1, 2019 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Jul 17, 2023 Accepting new patients
Retina Consultants, P.C. Current Accepting new patients
Capital Eye Care LLC Retina Specialist Past Accepting new patients

Locations

1145 19th St NW
Ste 500
Washington, DC 20036
Phone (202) 833-1668

2411 W Belvedere Ave
Fl 6
Baltimore, MD 21215
Phone (410) 601-9266

2411 W Belvedere Ave
#6T
Baltimore, MD 21215
Phone (410) 601-6480

6720A Rockledge Dr
Ste 200
Bethesda, MD 20817
Phone (300) 530-5200

6410 Rockledge Dr
Ste 400
Bethesda, MD 20817
Phone (301) 530-5200

3289 Woodburn Rd
Ste 270
Annandale, VA 22003
Phone (703) 849-8601

Interoperability endpoints

  • Direct secure messaging: fnasrallah153061@direct.hopkinsmedicine.org
  • Direct secure messaging: fnasrallah@retinaconsultants.intellechartdirect.net

Organizations & group practices 7

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1427055144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 ROCKLEDGE DR",
            "address_2": "SUITE 400",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171842",
            "telephone_number": "301-530-5200",
            "fax_number": "301-493-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720A ROCKLEDGE DR STE 200",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171888",
            "telephone_number": "301-530-5200",
            "fax_number": "301-493-6577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6410 Rockledge Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208171842",
            "country_code": "US",
            "telephone_number": "301-530-5200",
            "fax_number": "301-493-6577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASRALLAH",
        "first_name": "FADI",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MD",
            "license": "D0039747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.