Individual provider Active NPI

Nima S Moainie, M.D.

  • Ophthalmology Physician
  • Washington, DC
National Provider Identifier
1740456920
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD039349 Issued in DC
Practice address
4301 Connecticut Ave NW Ste 125
Washington, DC 20008
Phone
(202) 362-4545
NPI assigned
May 7, 2008
Last updated
Feb 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD039349 DC Primary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X D0072186 MD

Addresses

Primary practice location

4301 Connecticut Ave NW Ste 125
Washington, DC 20008

Mailing address

4301 Connecticut Ave NW Ste 125
Washington, DC 20008-2332
Phone (202) 362-4545

Other practice location 1

11300 Rockville Pike Ste 1202
Rockville, MD 20852-3040
Phone (301) 896-0890

Other identifiers 1

IdentifierTypeStateIssuer
059392800MedicaidDC

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
I20110602000329 DC Practitioner - Ophthalmology 9032396981 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington National Eye CenterGroup PAC ID 2264424043, 28 clinicians
Visionary Ophthalmology LLCGroup PAC ID 4587795687, 17 clinicians

Practice addresses (Care Compare)

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

4301 Connecticut Ave NW
Suite 125
Washington, DC 20008-2332
Phone 3018960890148

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0072186MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Visionary Ophthalmology LLC Single Specialty CurrentSince Feb 22, 2016 Accepting new patients
Nima S Moainie PLLC Single Specialty Past Accepting new patients
Nima S Moainie PLLC PastSince Feb 28, 2011 Accepting new patients

Locations

4301 Connecticut Ave NW
Ste 125
Washington, DC 20008
Phone (202) 362-4545

11300 Rockville Pike
Ste 1202
Rockville, MD 20852
Phone (301) 896-0890

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1740456920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 CONNECTICUT AVE NW STE 125",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200082332",
            "telephone_number": "202-362-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 CONNECTICUT AVE NW STE 125",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20008",
            "telephone_number": "202-362-4545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11300 Rockville Pike Ste 1202",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208523040",
            "country_code": "US",
            "telephone_number": "301-896-0890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOAINIE",
        "first_name": "NIMA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-07",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "MD039349",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0072186",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "059392800",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.