Bethesda Retina,LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

BETHESDA RETINA,LLC

Practice address

10215 Fernwood Rd
Suite 305
Bethesda, MD 20817-1106

Phone

(301) 896-0101

NPI assigned

Dec 15, 2009

Last updated

Dec 15, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Srinivas M Sastry, M.D.NPI 1952312662

Title

Owner

Phone

(301) 843-9971

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IIBDBD

Practitioners 1

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.

• Srinivas M. Sastry, M.D.

  • Ophthalmology Physician
  • Bethesda, MD
  • NPI 1952312662

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1790014082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1375",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "20604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 FERNWOOD RD",
            "address_2": "SUITE 305",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171106",
            "telephone_number": "301-896-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA RETINA,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "SASTRY",
        "authorized_official_first_name": "SRINIVAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-843-9971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE",
            "identifier": "349918",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "486910900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1277702",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethesda Refill Phcy-Annapolis
• Bethesda Refill Phcy-Camp David
• Bethesda Refill Phcy-Indian Head
• Bethesda Refill Phcy-NNMC Main
• Bethesda Refill Phcy-Pax River
• Bethesda Smiles LLC
• Bethesda SNF Operator LLC
• Bethesda Spine & Posture LLC
• Bethesda Surgery Center, LLC
• Bethesda TMJ Facial Pain Treatment LLC

• Ophthalmology Physician in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Ophthalmology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.