NPIMap

Organization Active NPI

The Retina Group of Washington, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Chestertown, MD
National Provider Identifier
1760110894
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
THE RETINA GROUP OF WASHINGTON, PLLC
Practice address
711 Washington Ave Ste 3
Chestertown, MD 21620-1057
Phone
(410) 778-1150
NPI assigned
Aug 8, 2022
Last updated
Mar 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Steven Madreperla, MD, PHDNPI 1013925254
Title
Ceo/President
Phone
(908) 458-8313

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

711 Washington Ave Ste 3
Chestertown, MD 21620-1057

Mailing address

420 Mountain Ave FL 4
New Providence, NJ 07974-2736
Phone (908) 458-8333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240605002956 MD DME Supplier - Physician - OptometristDME Supplier - Physician - Ophthalmology 5294702692 Practice locations: Chestertown, MD

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
The Retina Group of Washington,PLLC711 Washington Ave, Chestertown, MD 21620-1057(410) 778-1152 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Jan 1, 1993

National Provider Directory

National Provider Directory
Tax ID family
The Retina Group of Was48 organizations share this tax ID, including this one

Other organizations with this tax ID 47

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

View all 47

Locations

106 Irving St NW
Ste 422
Washington, DC 20010
Phone (202) 635-1000

3800 Reservoir Rd NW
Fl 7
Washington, DC 20007
Phone (202) 444-4972

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

104 Plumtree Rd
Ste 100
Bel Air, MD 21015
Phone (410) 670-7992

8120 Woodmont Ave
Ste 900
Bethesda, MD 20814
Phone (301) 656-2027

711 Washington Ave
Ste 3
Chestertown, MD 21620
Phone (410) 778-1150

5454 Wisconsin Ave
#S1540
Chevy Chase, MD 20815
Phone (301) 656-8100

5454 Wisconsin Ave
Ste 650
Chevy Chase, MD 20815
Phone (301) 656-8100

9131 Piscataway Rd
#S500
Clinton, MD 20735
Phone (301) 868-8747

19735 Germantown Rd
Ste 110
Germantown, MD 20874
Phone (240) 241-9960

7500 Greenway Center Dr
#S940
Greenbelt, MD 20770

1838 Greene Tree Rd
Ste 170
Pikesville, MD 21208
Phone (410) 377-7611

110 N Washington St
#S204
Rockville, MD 20850
Phone (301) 315-2198

8630 Fenton St
Ste 1104
Silver Spring, MD 20910
Phone (301) 495-2357

698 Corporate Center Ct
Ste A
Westminster, MD 21157
Phone (410) 377-7611

4660 Kenmore Ave
#S204
Alexandria, VA 22304
Phone (703) 751-1091

6354 Walker Ln
Fl 1
Alexandria, VA 22310
Phone (703) 313-7421

6355 Walker Ln
#502
Alexandria, VA 22310
Phone (703) 313-8822

6355 Walker Ln
Ste 502
Alexandria, VA 22310
Phone (703) 313-8822

19500 Sandridge Way
Ste 430
Leesburg, VA 20176
Phone (703) 421-0931

44055 Riverside Pkwy
Ste 242
Leesburg, VA 20176
Phone (703) 281-1023

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

130 Park St SE
Ste 300
Vienna, VA 22180
Phone (301) 656-2027

8219 Leesburg Pike
Ste 120
Vienna, VA 22182
Phone (703) 564-4300

2296 Opitz Blvd
Ste 330
Woodbridge, VA 22191
Phone (703) 670-7600

Practitioners & affiliated clinicians

Practitioners 85

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.

View all 85

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1760110894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 MOUNTAIN AVE FL 4",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079742736",
            "telephone_number": "908-458-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 WASHINGTON AVE STE 3",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201057",
            "telephone_number": "410-778-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RETINA GROUP OF WASHINGTON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "MADREPERLA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "908-458-8313",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestertown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.