Individual provider Active NPI

John Fred Anderschat, M.D.

  • Ophthalmology Physician
  • Silver Spring, MD
National Provider Identifier
1497795686
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D18653 Issued in MD
Practice address
1515 Highland Dr
Silver Spring, MD 20910-1527
Phone
(301) 585-1155
Fax
(301) 585-2597
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D18653 MD Primary

Addresses

Primary practice location

1515 Highland Dr
Silver Spring, MD 20910-1527

Mailing address

1515 Highland Dr
Silver Spring, MD 20910-1527
Phone (301) 585-1155

Other identifiers 1

IdentifierTypeStateIssuer
005511500MedicaidMD

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
I20101116000009 DC Practitioner - Ophthalmology 9638264013 Practice locations: Silver Spring, MD

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D18653MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1497795686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 HIGHLAND DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101527",
            "telephone_number": "301-585-1155",
            "fax_number": "301-585-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 HIGHLAND DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101527",
            "telephone_number": "301-585-1155",
            "fax_number": "301-585-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSCHAT",
        "first_name": "JOHN",
        "middle_name": "FRED",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D18653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005511500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.