Individual provider Active NPI

Joel M Engelstein, M.D.

  • Ophthalmology Physician
  • Silver Spring, MD
National Provider Identifier
1720076904
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D19187 Issued in MD
Practice address
8630 Fenton St
Suite 130
Silver Spring, MD 20910-3806
Phone
(301) 588-1177
Fax
(301) 589-5245
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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 D19187 MD Primary

Addresses

Primary practice location

8630 Fenton St
Suite 130
Silver Spring, MD 20910-3806

Mailing address

8630 Fenton St
Suite 130
Silver Spring, MD 20910-3806
Phone (301) 588-1177

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
I20080418000421 DC Practitioner - Ophthalmology 4688672280 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D19187MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optical Shop CurrentSince Dec 13, 2001 Accepting new patients
Saman F Ghahremani MD PC Ophthalmology CurrentSince Apr 1, 2021 Accepting new patients

Locations

8630 Fenton St
Ste 130
Silver Spring, MD 20910
Phone (301) 588-1177

831 University Blvd E
Ste 11
Silver Spring, MD 20903
Phone (301) 431-1043

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1720076904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8630 FENTON ST",
            "address_2": "SUITE 130",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103806",
            "telephone_number": "301-588-1177",
            "fax_number": "301-589-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 FENTON ST",
            "address_2": "SUITE 130",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103806",
            "telephone_number": "301-588-1177",
            "fax_number": "301-589-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELSTEIN",
        "first_name": "JOEL",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D19187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.