Individual provider Active NPI

Patrick Kaszubski

  • Ophthalmology Physician
  • Falls Church, VA
National Provider Identifier
1588019566
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101271730 Issued in VA
Practice address
6231 Leesburg Pike Ste 608
Falls Church, VA 22044-2102
Phone
(703) 534-3900
Fax
(703) 237-8923
NPI assigned
Apr 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 0101271730 VA
Ophthalmology Physician 207W00000X 0101271730 VA Primary

Addresses

Primary practice location

6231 Leesburg Pike Ste 608
Falls Church, VA 22044-2102

Mailing address

6231 Leesburg Pike Ste 608
Falls Church, VA 22044-2102
Phone (703) 534-3900

Other practice location 1

16 Guion Pl
New Rochelle, NY 10801-5502
Phone (914) 632-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20210811002593 DC Practitioner - Ophthalmology 6103220272 Reassigns benefits to 1 organization
I20230808002496 VA Practitioner - Ophthalmology 6103220272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3975 Fair Ridge Dr
Suite S100
Fairfax, VA 22033-2924
Phone (703) 620-2701

6565 Arlington Blvd
Suite 250
Falls Church, VA 22042-3000

6565 Arlington Blvd
Suite 250
Falls Church, VA 22042-3030
Phone (703) 534-3900

8644 Sudley Rd
Suite 201
Manassas, VA 20110-4425
Phone (703) 369-8525

Merit-based Incentive Payment System (MIPS)

Final score
91.48 of 100Reported as group
Quality
92.31
Promoting interoperability
100
Improvement activities
40
Cost
79.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery127

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101271730VAMDGlaucoma Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Virginia Ophthalmology Assoc P.C. Ophthalmology CurrentSince Oct 1, 2021 Accepting new patients
Northern Virginia Ophthalmology Assoc P.C PastSince Aug 8, 2021 Accepting new patients

Locations

6363 Walker Ln
Ste 150
Alexandria, VA 22310
Phone (703) 922-0906

3975 Fair Ridge Dr
Ste S100
Fairfax, VA 22033
Phone (703) 620-2701

6565 Arlington Blvd
Ste 250
Falls Church, VA 22042
Phone (703) 534-3900

6231 Leesburg Pike
Ste 608
Falls Church, VA 22044
Phone (703) 534-3900

8644 Sudley Rd
Ste 201
Manassas, VA 20110
Phone (571) 349-2191

Interoperability endpoints

  • Direct secure messaging: pkaszubski@nvoa.intellechartdirect.net

Organizations & group practices 2

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": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1588019566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6231 LEESBURG PIKE STE 608",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442102",
            "telephone_number": "703-534-3900",
            "fax_number": "703-237-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6231 LEESBURG PIKE STE 608",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442102",
            "telephone_number": "703-534-3900",
            "fax_number": "703-237-8923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Guion Pl",
            "address_purpose": "LOCATION",
            "city": "New Rochelle",
            "state": "NY",
            "postal_code": "108015502",
            "country_code": "US",
            "telephone_number": "914-632-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASZUBSKI",
        "first_name": "PATRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-27",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "VA",
            "license": "0101271730",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101271730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.