Individual provider Active NPI

Jonathan Alan Seidenberg, M.D.

  • Ophthalmology Physician
  • Havre de Grace, MD
National Provider Identifier
1790787927
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D38724 Issued in MD
Practice address
2023 Pulaski Highway
Havre de Grace, MD 21078
Phone
(410) 939-6477
Fax
(410) 939-6555
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D38724 MD Primary

Addresses

Primary practice location

2023 Pulaski Highway
Havre de Grace, MD 21078

Mailing address

2023 Pulaski Highway
Havre de Grace, MD 21078
Phone (410) 939-6477

Other identifiers 3

IdentifierTypeStateIssuer
W2450003OtherFEDERAL BLUESHIELD
544711900MedicaidMD
42492601OtherMDCAREFIRST BLUESHILED

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jseidenberg@arcnj.intellechartdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20110609000333 MD Practitioner - Ophthalmology 0547272692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Maryland School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Retina Group of Washington PLLCGroup PAC ID 5294702692, 78 clinicians

Practice addresses (Care Compare)

520 Upper Chesapeake Dr
Suite 401
Bel Air, MD 21014-4381
Phone (443) 643-4500

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery743

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seidenberg Protzko Eye Associates CurrentSince Aug 17, 1998 Accepting new patients
The Retina Group of Washington, PLLC Ophthalmology CurrentSince Aug 1, 2022 Accepting new patients
Associated Retinal Consultants LLC Ophthalmology Current Accepting new patients
Seidenberg Protzko Eye Associates Ophthalmology CurrentSince Oct 2, 1998 Accepting new patients
The Retina Group of Washington, PLLC Ophthalmology CurrentSince Aug 1, 2022 Accepting new patients

Locations

2002 Medical Pkwy
Ste 450
Annapolis, MD 21401
Phone (410) 224-6680

520 Upper Chesapeake Dr
Ste 401
Bel Air, MD 21014
Phone (410) 569-5103

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

360 E Pulaski Hwy
Ste 1A
Elkton, MD 21921
Phone (410) 620-3600

360 E Pulaski Hwy
Ste 1
Elkton, MD 21921
Phone (410) 620-3600

5283 Corporate Dr
Ste 201
Frederick, MD 21703
Phone (301) 607-0101

2023 Pulaski Hwy
Hvre de Grace, MD 21078
Phone (410) 939-6477

Interoperability endpoints

  • Direct secure messaging: jseidenberg@arcnj.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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1790787927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 PULASKI HIGHWAY",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "21078",
            "telephone_number": "410-939-6477",
            "fax_number": "410-939-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 PULASKI HIGHWAY",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "21078",
            "telephone_number": "410-939-6477",
            "fax_number": "410-939-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDENBERG",
        "first_name": "JONATHAN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D38724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLUESHIELD",
            "identifier": "W2450003",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "544711900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUESHILED",
            "identifier": "42492601",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jseidenberg@arcnj.intellechartdirect.net",
            "affiliation": "N",
            "endpointDescription": "Referrals, medical records, and care coordination documents",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Referrals, medical records, and care coordination documents",
            "address_1": "2023 Pulaski Highway",
            "city": "Havre de Grace",
            "state": "MD",
            "country_code": "US",
            "postal_code": "21078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Havre de Grace, MD

Sources for this page

Verify at the official NPI Registry.