Individual provider Active NPI

Andrew Jay Adelson, M.D.

  • Ophthalmology Physician
  • Washington, DC
National Provider Identifier
1932107018
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
14897 Issued in DC
Practice address
1155 21St St NW
Lbby M400
Washington, DC 20036-3336
Phone
(202) 496-9181
Fax
(202) 496-9180
NPI assigned
Jul 12, 2005
Last updated
Jan 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 14897 DC Primary
Ophthalmology Physician 207W00000X D0036917 MD
Ophthalmology Physician 207W00000X MD14897 DC

Addresses

Primary practice location

1155 21St St NW
Lbby M400
Washington, DC 20036-3336

Mailing address

1155 21St St NW
Lbby M400
Washington, DC 20036-3336
Phone (202) 496-9181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20061229000082 DC Practitioner - Ophthalmology 5890795686 Reassigns benefits to 1 organization
Practice locations: Washington, DC

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Maryland School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington National Eye CenterGroup PAC ID 2264424043, 28 clinicians

Practice addresses (Care Compare)

110 Irving St NW
1A19
Washington, DC 20010-3017
Phone (202) 877-5329

1155 21St St NW
Suite M400
Washington, DC 20036-3336
Phone (202) 496-9181

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.42 of 100Reported as individual
Quality
78
Improvement activities
40
Cost
77.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14897DCMDOphthalmology Physician
MD14897DCMDOphthalmology Physician
D0036917MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington National Eye Center Ophthalmology CurrentSince Jan 15, 1990 Accepting new patients
Sky Lakes Medical Center Inc Past Accepting new patients
Andrew J Adelson, MD Ophthalmology PastSince Jan 1, 1990 Accepting new patients

Locations

110 Irving St NW
#1A19
Washington, DC 20010
Phone (202) 877-5329

Organizations & group practices 3

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 1

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1932107018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 21ST ST NW",
            "address_2": "LBBY M400",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363336",
            "telephone_number": "202-496-9181",
            "fax_number": "202-496-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 21ST ST NW",
            "address_2": "LBBY M400",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363336",
            "telephone_number": "202-496-9181",
            "fax_number": "202-496-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADELSON",
        "first_name": "ANDREW",
        "middle_name": "JAY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "14897",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0036917",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "MD14897",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.