Individual provider Active NPI

Thomas E Clinch, MD

  • Ophthalmology Physician
  • Chevy Chase, MD
National Provider Identifier
1437186350
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0055106 Issued in MD
Practice address
2 Wisconsin Circle
Suite 230
Chevy Chase, MD 20815
Phone
(301) 215-7100
Fax
(240) 482-3070
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X CS9911225 DC
Ophthalmology Physician 207W00000X 0101222216 VA
Ophthalmology Physician 207W00000X D0055106 MD Primary

Addresses

Primary practice location

2 Wisconsin Circle
Suite 230
Chevy Chase, MD 20815

Mailing address

2 Wisconsin Circle
Suite 230
Chevy Chase, MD 20815
Phone (301) 215-7100

Other practice location 1

1016 16th St NW Bsmt Ll
Washington, DC 20036-5729
Phone (202) 659-2050

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
I20101109001052 DC Practitioner - Ophthalmology 6305819103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
52.79 of 100Reported as group
Quality
0
Improvement activities
40
Cost
75.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CS9911225DCMDOphthalmology Physician
D0055106MDMDOphthalmology Physician
0101222216VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors of Washington PC Ophthalmology CurrentSince Aug 1, 1999 Accepting new patients
Palisade Surgery Center LLC Past Accepting new patients
Medical Faculty Associates, Inc Ophthalmology Past Accepting new patients
Washington National Eye Center Ophthalmology Past Accepting new patients
Palisades Ancillary Services, LLC PastSince Jun 15, 2013 Accepting new patients

Locations

1016 16th St NW
Lowr
Washington, DC 20036
Phone (202) 659-2050

1016 16th St NW
Bsmt Ll
Washington, DC 20036
Phone (202) 659-2050

2 Wisconsin Cir
Ste 230
Chevy Chase, MD 20815
Phone (301) 281-4085

2 Wisconsin Cir
Ste 500
Chevy Chase, MD 20815

8230 Boone Blvd
Ste 125
Vienna, VA 22182
Phone (703) 962-7104

Interoperability endpoints

  • Direct secure messaging: thomas.clinch.p6@direct.katzeneye.nextgenshare.com
  • Direct secure messaging: thomas.clinch.p1@direct.katzeneye.nextgenshare.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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1437186350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WISCONSIN CIRCLE",
            "address_2": "SUITE 230",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "20815",
            "telephone_number": "301-215-7100",
            "fax_number": "240-482-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WISCONSIN CIRCLE",
            "address_2": "SUITE 230",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "20815",
            "telephone_number": "301-215-7100",
            "fax_number": "240-482-3070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1016 16th St NW Bsmt Ll",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200365729",
            "country_code": "US",
            "telephone_number": "202-659-2050",
            "fax_number": "202-452-1415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLINCH",
        "first_name": "THOMAS",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "CS9911225",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101222216",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0055106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.