Individual provider Active NPI

Shelly Hwang Watson, M.D.

  • Ophthalmology Physician
  • Baltimore, MD
National Provider Identifier
1770930935
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101272942 Issued in VA
Practice address
600 N Wolfe Street
Maumenee 215
Baltimore, MD 21287-0005
Phone
(410) 955-5490
Fax
(410) 614-9172
NPI assigned
May 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D0089279 MD
Ophthalmology Physician 207W00000X P32567 MD
Ophthalmology Physician 207W00000X 0101272942 VA Primary

Addresses

Primary practice location

600 N Wolfe Street
Maumenee 215
Baltimore, MD 21287-0005

Mailing address

9910 Franklin Square Dr Ste 2110
Baltimore, MD 21236-4902
Phone (410) 933-6423

Other names 1

  • Ms. Shelly Hwang Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20200709001367 MD Practitioner - Ophthalmology 8426346982 Reassigns benefits to 1 organization
I20210811000225 DC Practitioner - Ophthalmology 8426346982 Reassigns benefits to 1 organization
I20230830001359 VA Practitioner - Ophthalmology 8426346982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Maryland School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Virginia Ophthalmology Assoc PCGroup PAC ID 4688673338, 19 clinicians

Practice addresses (Care Compare)

3975 Fair Ridge Dr
Suite S100
Fairfax, VA 22033-2924
Phone (703) 620-2701

6565 Arlington Blvd
Suite 250
Falls Church, VA 22042-3000

6565 Arlington Blvd
Suite 250
Falls Church, VA 22042-3030
Phone (703) 534-3900

8644 Sudley Rd
Suite 201
Manassas, VA 20110-4425
Phone (703) 369-8525

Merit-based Incentive Payment System (MIPS)

Final score
91.48 of 100Reported as group
Quality
92.31
Promoting interoperability
100
Improvement activities
40
Cost
79.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0089279MDMDOphthalmology Physician
P32567MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University Current Accepting new patients
Northern Virginia Ophthalmology Assoc P.C CurrentSince Oct 1, 2021 Accepting new patients
Johns Hopkins University Ophthalmology CurrentSince Jul 1, 2020 Accepting new patients
Johns Hopkins University Ophthalmology CurrentSince Jul 1, 2020 Accepting new patients
Northern Virginia Ophthalmology Assoc P.C. Ophthalmology CurrentSince Oct 1, 2021 Accepting new patients

Locations

600 N Wolfe St
#215
Baltimore, MD 21287
Phone (410) 502-2128

10751 Falls Rd
Timonium, MD 21093
Phone (410) 583-2727

6363 Walker Ln
Ste 150
Alexandria, VA 22310
Phone (703) 922-0906

3975 Fair Ridge Dr
Ste S100
Fairfax, VA 22033
Phone (703) 620-2701

6231 Leesburg Pike
Ste 608
Falls Church, VA 22044
Phone (703) 534-3900

6565 Arlington Blvd
Ste 250
Falls Church, VA 22042
Phone (703) 534-3900

8644 Sudley Rd
Ste 201
Manassas, VA 20110
Phone (571) 349-2191

Interoperability endpoints

  • Direct secure messaging: swatson@nvoa.intellechartdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1770930935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 FRANKLIN SQUARE DR STE 2110",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364902",
            "telephone_number": "410-933-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N WOLFE STREET",
            "address_2": "MAUMENEE 215",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870005",
            "telephone_number": "410-955-5490",
            "fax_number": "410-614-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "SHELLY",
        "middle_name": "HWANG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0089279",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "P32567",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101272942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLY",
            "last_name": "HWANG",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.