Active NPI
Daniel B Drysdale, M.D. PC
- Ophthalmology Physician
- Blacksburg, VA
National Provider Identifier
1629013776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 0101029249
- Practice address
- 3645 S Main St
Blacksburg, VA 24060-7018 - Phone
- (540) 951-0525
- Fax
- (540) 953-1539
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 0101029249 | VA | Primary |
Addresses
Primary practice location
3645 S Main St
Blacksburg, VA 24060-7018
Mailing address
3645 S Main St
Blacksburg, VA 24060-7018
Phone (540) 951-0525
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 064462 | Other | VA | ANTHEM PROVIDER NUMBER |
| 006374760 | Medicaid | VA | |
| 1952631723 | Other | VA | TYPE II DME NPI CORPORATE DMERC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Duke University School of Medicine, 1974
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
101 Technology Park Dr
Kilmarnock, VA 22482-3837
Phone (804) 435-0547
Merit-based Incentive Payment System (MIPS)
- Final score
- 23.63 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 78.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101029249 | VA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Old Dominion Eye Care Inc | Ophthalmology | Current | Accepting new patients |
Locations
101 Technology Park Dr
Kilmarnock, VA 22482
Phone (804) 435-0547
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.
-
- Ophthalmology Physician
- Kilmarnock, VA
- NPI 1669547311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318464000000",
"number": "1629013776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3645 S MAIN ST",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240607018",
"telephone_number": "540-951-0525",
"fax_number": "540-953-1539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3645 S MAIN ST",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240607018",
"telephone_number": "540-951-0525",
"fax_number": "540-953-1539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRYSDALE",
"first_name": "DANIEL",
"middle_name": "B",
"credential": "M.D. PC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2011-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "VA",
"license": "0101029249",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "064462",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006374760",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE II DME NPI CORPORATE DMERC",
"identifier": "1952631723",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blacksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.