Individual provider Active NPI

Salman J Yousuf, D.O.

  • Ophthalmology Physician
  • Washington, DC
National Provider Identifier
1669600649
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
DO034868 Issued in DC
Practice address
2041 Georgia Ave NW Ste 2100
Washington, DC 20060-2514
Phone
(202) 865-1257
Fax
(202) 865-4259
NPI assigned
Jun 29, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X DO034868 DC Primary
Ophthalmology Physician 207W00000X 051653 CT
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2041 Georgia Ave NW Ste 2100
Washington, DC 20060-2514

Mailing address

2041 Georgia Ave NW
Washington, DC 20060-0001

Other practice location 1

87 Grandview Ave
Waterbury, CT 06708-2514
Phone (203) 574-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DC2 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
I20141119000058 NY Practitioner - Ophthalmology 1658513627 Reassigns benefits to 1 organization
I20200117000233 DC Practitioner - Ophthalmology 1658513627 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Howard UniversityGroup PAC ID 0941109565, 182 clinicians

Practice addresses (Care Compare)

2041 Georgia NW Ave
Washington, DC 20060-0001
Phone (202) 865-6679

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051653CTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Ophthalmology CurrentSince Aug 18, 2014 Accepting new patients
In-House Ophthalmology Inc Ophthalmology CurrentSince Jan 31, 2026 Accepting new patients
Howard University Ophthalmology CurrentSince Dec 13, 2019 Accepting new patients
North Shore - Lij Medical PC CurrentSince Aug 18, 2014 Accepting new patients
Howard University Hospital Corp PastSince Dec 22, 2019 Accepting new patients
Eyestudiony PastSince Aug 1, 2017 Accepting new patients

Locations

2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785

2041 Georgia Ave NW
Ste 2100
Washington, DC 20060
Phone (202) 865-1257

4414 Benning Rd NE
Fl 2
Washington, DC 20019
Phone (202) 865-2120

2101 Medical Park Dr
Ste 305
Silver Spring, MD 20902
Phone (301) 754-0833

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

300 Community Dr
Plandome, NY 11030

Organizations & group practices 6

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": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1669600649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 GEORGIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200600001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 GEORGIA AVE NW STE 2100",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200602514",
            "telephone_number": "202-865-1257",
            "fax_number": "202-865-4259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "87 Grandview Ave",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067082514",
            "country_code": "US",
            "telephone_number": "203-574-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUSUF",
        "first_name": "SALMAN",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-29",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "DO034868",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "051653",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.