Individual provider Active NPI

Setareh Vistamehr, MD

  • Specialist
  • Rockville, MD
National Provider Identifier
1699748590
Registry record updated Jun 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D 0069332 Issued in MD
Practice address
11119 Rockville Pike
Suite 318
Rockville, MD 20852-3143
Phone
(301) 570-2020
Fax
(301) 570-2021
NPI assigned
Feb 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D 0069332 MD Primary

Addresses

Primary practice location

11119 Rockville Pike
Suite 318
Rockville, MD 20852-3143

Mailing address

5601 Whitney Mill Way
Rockville, MD 20852-5724
Phone (203) 915-8434

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
I20091102000509 DC Practitioner - Ophthalmology 0042225898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11119 Rockville Pike
Suite 318
Rockville, MD 20852-3143
Phone (301) 570-2020

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
99747CAMDMarriage & Family Therapist
D 0069332MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Eye Center, LLC CurrentSince Oct 27, 2009 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

11119 Rockville Pike
Ste 318
Rockville, MD 20852
Phone (301) 570-2020

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498176000000",
    "number": "1699748590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 WHITNEY MILL WAY",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208525724",
            "telephone_number": "203-915-8434",
            "fax_number": "301-570-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11119 ROCKVILLE PIKE",
            "address_2": "SUITE 318",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523143",
            "telephone_number": "301-570-2020",
            "fax_number": "301-570-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISTAMEHR",
        "first_name": "SETAREH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2017-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D 0069332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.