Individual provider Active NPI

Sunil Thadani, MD

  • Ophthalmology Physician
  • Frederick, MD
National Provider Identifier
1790951986
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0070611 Issued in MD
Practice address
5205 Chairmans CT Ste 202
Frederick, MD 21703-2918
Phone
(240) 575-9580
NPI assigned
May 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cornea and External Diseases Specialist Physician 207WX0120X D0070611 MD
Ophthalmology Physician 207W00000X D0070611 MD Primary

Addresses

Primary practice location

5205 Chairmans CT Ste 202
Frederick, MD 21703-2918

Mailing address

5205 Chairmans CT Ste 202
Frederick, MD 21703-2918
Phone (240) 575-9580

Other practice location 1

1003 W 7th St Ste 400
Frederick, MD 21701-8532
Phone (240) 575-9580

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
I20100810000756 MD Practitioner - Ophthalmology 7315093564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
George Washington University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Vision Center, P.a.Group PAC ID 4183875826, 3 clinicians

Practice addresses (Care Compare)

5205 Chairmans CT
Suite 202
Frederick, MD 21703-2918
Phone (240) 575-9580

Merit-based Incentive Payment System (MIPS)

Final score
86.85 of 100Reported as group
Quality
82.93
Improvement activities
40
Cost
78.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery558

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Vision Center, P.a. Cornea and External Diseases Specialist CurrentSince Jun 20, 2012 Accepting new patients
Maryland Vision Center, P.a. Ophthalmology CurrentSince Oct 2, 2012 Accepting new patients
Maryland Vision Surgery Center LLC Current Accepting new patients
Cumberland Valley Retina Consultants PC Ophthalmology PastSince Mar 1, 2013 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5205 Chairmans Ct
Ste 202
Frederick, MD 21703
Phone (240) 575-9580

1003 W 7th St
Ste 400
Frederick, MD 21701
Phone (240) 575-9580

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": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1790951986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 CHAIRMANS CT STE 202",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217032918",
            "telephone_number": "240-575-9580",
            "fax_number": "240-457-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 CHAIRMANS CT STE 202",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217032918",
            "telephone_number": "240-575-9580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1003 W 7th St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217018532",
            "country_code": "US",
            "telephone_number": "240-575-9580",
            "fax_number": "240-457-4939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THADANI",
        "first_name": "SUNIL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-07",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "MD",
            "license": "D0070611",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0070611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.