Active NPI
Marielle Mahan, MD
- Ophthalmology Physician
- Bethesda, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- D0103387
- Practice address
- 5612 Shields Dr
Bethesda, MD 20817-3532 - Phone
- (301) 571-4334
- NPI assigned
- Mar 27, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | D0103387 | MD | |
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | MD600004334 | DC | |
| Ophthalmology Physician | 207W00000X | MD600004334 | DC | |
| Ophthalmology Physician | 207W00000X | D0103387 | MD | Primary |
Addresses
Primary practice location
5612 Shields Dr
Bethesda, MD 20817-3532
Mailing address
11300 Rockville Pike Ste 1202
Rockville, MD 20852-3040
Phone (301) 896-0890
Other practice location 1
811 Russell Ave Ste H
Gaithersburg, MD 20879-3510
Phone (301) 571-4334
Other practice location 2
4301 Connecticut Ave NW Ste 125
Washington, DC 20008-2332
Phone (301) 896-0890
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Georgetown University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4301 Connecticut Ave NW
Suite 125
Washington, DC 20008-2332
Phone 3018960890148
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.65 of 100
- Quality
- 86.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 86.36
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.11 of 100
- Quality
- 84.29
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD600004334 | DC | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionary Ophthalmology LLC | Ophthalmology | Current | Accepting new patients |
Locations
4301 Connecticut Ave NW
Ste 125
Washington, DC 20008
Phone (202) 362-4545
5612 Shields Dr
Bethesda, MD 20817
Phone (301) 571-4334
811 Russell Ave
Ste H
Gaithersburg, MD 20879
Phone (301) 571-4334
11300 Rockville Pike
Ste 1202
Rockville, MD 20852
Phone (301) 896-0890
Organizations & group practices 1
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": "1553644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1487115010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11300 ROCKVILLE PIKE STE 1202",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523040",
"telephone_number": "301-896-0890",
"fax_number": "301-896-0968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5612 SHIELDS DR",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208173532",
"telephone_number": "301-571-4334"
}
],
"practiceLocations": [
{
"address_1": "811 Russell Ave Ste H",
"address_purpose": "LOCATION",
"city": "Gaithersburg",
"state": "MD",
"postal_code": "208793510",
"country_code": "US",
"telephone_number": "301-571-4334",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4301 Connecticut Ave NW Ste 125",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200082332",
"country_code": "US",
"telephone_number": "301-896-0890",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAHAN",
"first_name": "MARIELLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-27",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "MD",
"license": "D0103387",
"primary": false
},
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "DC",
"license": "MD600004334",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "DC",
"license": "MD600004334",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MD",
"license": "D0103387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.