Active NPI
Ronald L Anderson, MD PC
- Ophthalmology Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- RONALD L ANDERSON, MD PC
- Practice address
- 2041 Martin Luther King Jr Ave SE Ste 102
Washington, DC 20020-7033 - Phone
- (202) 889-5700
- NPI assigned
- Dec 30, 2009
- Last updated
- Sep 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Montez Anderson
- Title
- Office Manager
- Phone
- (202) 889-5700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
2041 Martin Luther King Jr Ave SE Ste 102
Washington, DC 20020-7033
Mailing address
2041 Martin Luther King Jr Ave SE Ste 102
Washington, DC 20020-7033
Other practice location 1
106 Irving St NW Ste 214
Washington, DC 20010-2993
Phone (301) 442-9061
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021821600 | Medicaid | DC | |
| 81590001 | Other | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
106 Irving St NW
#214S
Washington, DC 20010
106 Irving St NW
Ste 214
Washington, DC 20010
Phone (301) 442-9061
106 Irving St NW
Ste 214S
Washington, DC 20010
2041 Martin Luther King Jr Ave SE
Ste 102
Washington, DC 20020
Phone (202) 889-5700
Interoperability endpoints
- https://api.platform.athenahealth.com/20012/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Ophthalmology Physician
- Washington, DC
- NPI 1932267085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663113600000",
"number": "1841520624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2041 MARTIN LUTHER KING JR AVE SE STE 102",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200207033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2041 MARTIN LUTHER KING JR AVE SE STE 102",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200207033",
"telephone_number": "202-889-5700"
}
],
"practiceLocations": [
{
"address_1": "106 Irving St NW Ste 214",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200102993",
"country_code": "US",
"telephone_number": "301-442-9061",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RONALD L ANDERSON, MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-30",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "MONTEZ",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "202-889-5700"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021821600",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "81590001",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.