Individual provider Active NPI

John Robert Minarcik Jr., M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Fairfax, VA
National Provider Identifier
1750427555
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
0101244998 Issued in VA
Practice address
8505 Arlington Blvd Ste 300
Fairfax, VA 22031-4630
Phone
(703) 698-9335
Fax
(703) 207-0038
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D0068656 MD
Ophthalmology Physician 207W00000X 0101244998 VA
Retina Specialist (Ophthalmology) Physician 207WX0107X 0101244998 VA Primary
Ophthalmology Physician 207W00000X MD37862 DC

Addresses

Primary practice location

8505 Arlington Blvd Ste 300
Fairfax, VA 22031-4630

Mailing address

7501 Greenway Center Dr # 300
Greenbelt, MD 20770-3514
Phone (301) 474-4679

Other practice location 1

7501 Greenway Center Dr # 300
Greenbelt, MD 20770-3514
Phone (301) 474-4679

Other identifiers 1

IdentifierTypeStateIssuer
021372100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090701000420 DC Practitioner - Ophthalmology 3375694482 Reassigns benefits to 2 organizations
I20090727000031 VA Practitioner - Ophthalmology 3375694482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10530 Linden Lake PLZ
Suite 305
Manassas, VA 20109-6434
Phone (703) 257-9270

8270 Willow Oaks Corporate Dr
Suite 600
Fairfax, VA 22031-4522
Phone (703) 698-9335

Hospital & facility affiliations

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD37862DCMDOphthalmology Physician
D0068656MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Retina Group of Washington, PLLC Ophthalmology CurrentSince Jul 1, 2009 Accepting new patients
Washington National Eye Center Ophthalmology CurrentSince Aug 13, 2009 Accepting new patients
The Retina Group of Washington, PLLC Ophthalmology CurrentSince Jul 1, 2009 Accepting new patients

Locations

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

660 Pennsylvania Ave SE
Ste 200
Washington, DC 20003
Phone (202) 331-1188

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

7501 Greenway Center Dr
Ste 300
Greenbelt, MD 20770
Phone (301) 441-4577

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

8270 Willow Oaks Corporate Dr
Ste 600
Fairfax, VA 22031
Phone (703) 698-9335

8505 Arlington Blvd
Ste 300
Fairfax, VA 22031
Phone (703) 652-7803

10530 Linden Lake Plz
Ste 305
Manassas, VA 20109
Phone (703) 257-9270

4545 Daisy Reid Ave
Ste 150
Woodbridge, VA 22192
Phone (703) 468-4887

Organizations & group practices 3

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 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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1750427555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 GREENWAY CENTER DR # 300",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703514",
            "telephone_number": "301-474-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 ARLINGTON BLVD STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314630",
            "telephone_number": "703-698-9335",
            "fax_number": "703-207-0038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7501 Greenway Center Dr # 300",
            "address_purpose": "LOCATION",
            "city": "Greenbelt",
            "state": "MD",
            "postal_code": "207703514",
            "country_code": "US",
            "telephone_number": "301-474-4679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINARCIK",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0068656",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101244998",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "VA",
            "license": "0101244998",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "MD37862",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021372100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.