Organization Active NPI

Virginia Retina Consultants, PLC

  • Retina Specialist (Ophthalmology) Physician
  • Charlottesville, VA
National Provider Identifier
1700976834
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
Legal business name
VIRGINIA RETINA CONSULTANTS, PLC
Practice address
600 Peter Jefferson Pkwy Ste 350
Charlottesville, VA 22911-8836
Phone
(434) 978-2040
Fax
(434) 978-2041
NPI assigned
Oct 12, 2006
Organization subpart
Yes
Parent organization
MONTICELLO COMMUNITY SURGERY CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Authorized official

Name
Dr. Mohit Nanda, MDNPI 1750363396
Title
Owner
Phone
(434) 978-2040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0107X Primary

Addresses

Primary practice location

600 Peter Jefferson Pkwy Ste 350
Charlottesville, VA 22911-8836

Mailing address

600 Peter Jefferson Pkwy Ste 350
Charlottesville, VA 22911-8836
Phone (434) 978-2040

Other identifiers 8

IdentifierTypeStateIssuer
CIGNAOtherVA2754745
173380OtherVAANTHEM HEALTHKEEPERS
4330496OtherVAAETNA US HEALTHCARE
2131855OtherVAMAMSI LIFE AND HEALTH
010281741MedicaidVA
93192OtherVAOPTIMA HEALTH
173380OtherVAANTHEM
256528OtherSOUTHERN HEALTH SERVICES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050311000194 VA Part B Supplier - Clinic/Group Practice 5597719591 Receives reassigned benefits from 3 practitioners
Practice locations: Waynesboro, VA; Fishersville, VA; Culpeper, VA; Charlottesville, VA

National Provider Directory

National Provider Directory
Tax ID family
Virginia Retina Consultants2 organizations share this tax ID, including this one
Part of
Monticello Community Surgery Center LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1001 Research Park Blvd
Ste 420
Charlottesville, VA 22911
Phone (434) 474-2020

600 Peter Jefferson Pkwy
Ste 350
Charlottesvle, VA 22911
Phone (434) 977-0027

663 Lifecore Dr
Fishersville, VA 22939
Phone (434) 949-9080

633 Lifecore Dr
Fishersville, VA 22939

540 Lew Dewitt Blvd
Ste 6
Waynesboro, VA 22980

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1700976834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PETER JEFFERSON PKWY STE 350",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118836",
            "telephone_number": "434-978-2040",
            "fax_number": "434-978-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PETER JEFFERSON PKWY STE 350",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118836",
            "telephone_number": "434-978-2040",
            "fax_number": "434-978-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA RETINA CONSULTANTS, PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTICELLO COMMUNITY SURGERY CENTER",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "NANDA",
        "authorized_official_first_name": "MOHIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-978-2040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "2754745",
            "identifier": "CIGNA",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM HEALTHKEEPERS",
            "identifier": "173380",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "4330496",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI LIFE AND HEALTH",
            "identifier": "2131855",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010281741",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA HEALTH",
            "identifier": "93192",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "173380",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH SERVICES",
            "identifier": "256528",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.