Individual provider Active NPI

Waqas Ilyas, MD

  • Ophthalmology Physician
  • Winchester, VA
National Provider Identifier
1467482984
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101236475 Issued in VA
Practice address
347 Westside Station Dr
Winchester, VA 22601-2840
Phone
(540) 662-1810
Fax
(540) 662-1812
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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 01062263A IN
Ophthalmology Physician 207W00000X 0101236475 VA Primary

Addresses

Primary practice location

347 Westside Station Dr
Winchester, VA 22601-2840

Mailing address

347 Westside Station Dr
Winchester, VA 22601-2840
Phone (540) 662-1810

Other practice location 1

905 Cedar Creek Grade
Suite 105
Winchester, VA 22601-2705
Phone (540) 662-1810

Other identifiers 3

IdentifierTypeStateIssuer
1467482984MedicaidVA
P00717921OtherVAMEDICARE RR
3810014188MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20040915001061 VA Practitioner - Ophthalmology 8729055033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Pittsburgh School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

347 Westside Station Dr
Winchester, VA 22601-2840
Phone (540) 662-1810

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.2 of 100Reported as individual
Quality
98.39
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01062263AINMDOphthalmology Physician
0101236475VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina & Vitreous Consultants of Virginia, PC Ophthalmology CurrentSince Feb 15, 2009 Accepting new patients
MCV Associated Physicians Ophthalmology PastSince Sep 28, 2021 Accepting new patients
Indiana University Eye Care Inc. Ophthalmology Past Accepting new patients

Locations

905 Cedar Creek Grade
Ste 105
Winchester, VA 22601
Phone (540) 662-1810

347 Westside Station Dr
Winchester, VA 22601
Phone (540) 667-9252

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1467482984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 WESTSIDE STATION DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012840",
            "telephone_number": "540-662-1810",
            "fax_number": "540-662-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 WESTSIDE STATION DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012840",
            "telephone_number": "540-662-1810",
            "fax_number": "540-662-1812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 Cedar Creek Grade",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012705",
            "country_code": "US",
            "telephone_number": "540-662-1810",
            "fax_number": "540-662-1812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ILYAS",
        "first_name": "WAQAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01062263A",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101236475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467482984",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00717921",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810014188",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.