Individual provider Active NPI

Dietrich Albert Fellner, M.D.

  • Ophthalmology Physician
  • Virginia Beach, VA
National Provider Identifier
1922097179
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101232452 Issued in VA
Practice address
813 Independence Blvd
Virginia Beach, VA 23455-6004
Phone
(757) 490-9091
Fax
(757) 490-3250
NPI assigned
Oct 20, 2005
Last updated
May 9, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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 0101232452 VA Primary

Addresses

Primary practice location

813 Independence Blvd
Virginia Beach, VA 23455-6004

Mailing address

813 Independence Blvd
Virginia Beach, VA 23455-6004
Phone (757) 490-9091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20031121000270 VA Practitioner - Ophthalmology 8921902925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Pennsylvania State University College of Medicine, 1999
Medicare assignment
May accept Medicare assignment
Group practices
The Eye Specialists LTDGroup PAC ID 3577464718, 2 clinicians

Practice addresses (Care Compare)

813 Independence Blvd
Virginia Beach, VA 23455-6004
Phone (757) 490-9091

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
34.7 of 100Reported as group
Quality
79.24
Improvement activities
0
Cost
10

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery208

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Specialists LTD Ophthalmology CurrentSince Aug 1, 2003 Accepting new patients

Locations

813 Independence Blvd
Virginia Beach, VA 23455
Phone (757) 490-9091

Interoperability endpoints

  • Direct secure messaging: dfellner@theeyespecs.intellechartdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1922097179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 INDEPENDENCE BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556004",
            "telephone_number": "757-490-9091",
            "fax_number": "757-490-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 INDEPENDENCE BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556004",
            "telephone_number": "757-490-9091",
            "fax_number": "757-490-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLNER",
        "first_name": "DIETRICH",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101232452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.