Individual provider Active NPI

Forrest J Ellis, MD

  • Ophthalmology Physician
  • Falls Church, VA
National Provider Identifier
1609971126
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101241653 Issued in VA
Practice address
6231 Leesburg Pike
Suite 608
Falls Church, VA 22044-2102
Phone
(703) 534-3900
Fax
(703) 536-3729
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 0101241653 VA
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 0101241653 VA
Ophthalmology Physician 207W00000X 0101241653 VA Primary

Addresses

Primary practice location

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

Mailing address

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

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
I20071001000167 DC Practitioner - Ophthalmology 4082709480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Virginia Ophthalmology Assoc PCGroup PAC ID 4688673338, 19 clinicians

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

Hospital & facility affiliations

  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Virginia Ophthalmology Assoc P.C CurrentSince Jul 1, 2007 Accepting new patients
Northern Virginia Ophthalmology Assoc P.C. Ophthalmology CurrentSince Jul 1, 2007 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

Interoperability endpoints

  • Direct secure messaging: fellis@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.

Hospital & facility affiliations 2

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1609971126",
    "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": "703-536-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6231 LEESBURG PIKE",
            "address_2": "SUITE 608",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442102",
            "telephone_number": "703-534-3900",
            "fax_number": "703-536-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "FORREST",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "VA",
            "license": "0101241653",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "VA",
            "license": "0101241653",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101241653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.