Individual provider Active NPI

Jacquelyn M Weber, M.D.

  • Ophthalmology Physician
  • Bethesda, MD
National Provider Identifier
1689088155
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
63364 Issued in MN
Practice address
8218 Wisconsin Ave Ste P10
Bethesda, MD 20814-3138
Phone
(301) 656-2027
NPI assigned
Jun 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cornea and External Diseases Specialist Physician 207WX0120X MD047350 DC
Cornea and External Diseases Specialist Physician 207WX0120X D0087477 MD
Cornea and External Diseases Specialist Physician 207WX0120X 0101266932 VA
Ophthalmology Physician 207W00000X 63364 MN Primary

Addresses

Primary practice location

8218 Wisconsin Ave Ste P10
Bethesda, MD 20814-3138

Mailing address

205 Cromwell Ter NE
Washington, DC 20002-1029

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
I20190710001034 DC Practitioner - Ophthalmology 4284989286 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York Medical College, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington National Eye CenterGroup PAC ID 2264424043, 28 clinicians
The Retina Group of Washington PLLCGroup PAC ID 5294702692, 78 clinicians

Practice addresses (Care Compare)

110 Irving St NW
1A19
Washington, DC 20010-3017
Phone (202) 877-5329

130 Park St SE
Suite 300
Vienna, VA 22180-4626
Phone (703) 938-2266

Hospital & facility affiliations

  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
  • Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011

Merit-based Incentive Payment System (MIPS)

Final score
93.14 of 100Reported as group
Quality
99.47
Promoting interoperability
100
Improvement activities
40
Cost
77.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery193

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63364MNMDOphthalmology Physician
0101266932VAMDCornea and External Diseases Specialist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Retina Group of Washington, PLLC Ophthalmology CurrentSince Sep 1, 2022 Accepting new patients
Associated Retinal Consultants LLC Ophthalmology Current Accepting new patients
The Retina Group of Washington, PLLC Ophthalmology CurrentSince Sep 1, 2022 Accepting new patients
Washington National Eye Center Ophthalmology CurrentSince Oct 17, 2019 Accepting new patients

Locations

110 Irving St NW
Ste 1A
Washington, DC 20010

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

110 Irving St NW
#1A19
Washington, DC 20010
Phone (202) 877-5329

8120 Woodmont Ave
Ste 900
Bethesda, MD 20814
Phone (301) 656-2027

8218 Wisconsin Ave
Ste P10
Bethesda, MD 20814
Phone (301) 652-7061

9131 Piscataway Rd
Ste 500
Clinton, MD 20735
Phone (301) 868-8747

130 Park St SE
Ste 300
Vienna, VA 22180
Phone (301) 656-2027

130 Park St SE
Vienna, VA 22180

Interoperability endpoints

  • Direct secure messaging: jweber@arcnj.intellechartdirect.net

Organizations & group practices 4

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 3

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": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1689088155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 CROMWELL TER NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200021029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8218 WISCONSIN AVE STE P10",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143138",
            "telephone_number": "301-656-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "JACQUELYN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "DC",
            "license": "MD047350",
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "MD",
            "license": "D0087477",
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "VA",
            "license": "0101266932",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "63364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.