Individual provider Active NPI

Samuel Sheldon Stopak, M.D.

  • Ophthalmology Physician
  • Washington, DC
National Provider Identifier
1669514428
Registry record updated Jul 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD17900 Issued in DC
Practice address
2440 M St NW
Suite 516
Washington, DC 20037-1404
Phone
(202) 659-0066
Fax
(202) 466-2933
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2012

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 MD17900 DC Primary

Addresses

Primary practice location

2440 M St NW
Suite 516
Washington, DC 20037-1404

Mailing address

2440 M St NW
Suite 516
Washington, DC 20037-1404
Phone (202) 659-0066

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
I20100316000781 DC Practitioner - Ophthalmology 4688709694 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Eye Associates, P.C. Ophthalmology CurrentSince May 7, 1990 Accepting new patients

Locations

2440 M St NW
Ste 516
Washington, DC 20037
Phone (202) 659-0066

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341360000000",
    "number": "1669514428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 M ST NW",
            "address_2": "SUITE 516",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371404",
            "telephone_number": "202-659-0066",
            "fax_number": "202-466-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 M ST NW",
            "address_2": "SUITE 516",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371404",
            "telephone_number": "202-659-0066",
            "fax_number": "202-466-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOPAK",
        "first_name": "SAMUEL",
        "middle_name": "SHELDON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2012-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "MD17900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.