Active NPI
Theodore A Gancayco, MD
- Ophthalmology Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD20277
- Practice address
- 1160 Varnum St NE Ste 11
Washington, DC 20017-2110 - Phone
- (202) 529-5200
- Fax
- (202) 269-3462
- NPI assigned
- Aug 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | D0038919 | MD | |
| Ophthalmology Physician | 207W00000X | MD20277 | DC | Primary |
Addresses
Primary practice location
1160 Varnum St NE Ste 11
Washington, DC 20017-2110
Mailing address
2661 Riva Rd Ste 1030
Annapolis, MD 21401-7131
Phone (667) 354-5528
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060221300 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Virginia School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1160 Varnum St NE
Suite 11
Washington, DC 20017-2110
Phone (202) 529-5200
2002 Medical Pkwy
Annapolis, MD 21401-7901
2925 Lord Baltimore Dr
Suite 300
Baltimore, MD 21244-2660
Phone (410) 277-3937
9106 Philadelphia Rd
Suite 314
Rosedale, MD 21237-4343
Phone (410) 277-3937
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.62 of 100
- Quality
- 82.27
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 63.12
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chesapeake Eye Care & Laser Center LLC | Ophthalmology | Current | Accepting new patients |
| Chesapeake Eye Care and Laser Center LLC | Ophthalmology | Current | Accepting new patients |
| Washington National Eye Center | Ophthalmology | Past | Accepting new patients |
| Capital Eye Physicians & Surgeons LLC | Ophthalmology | Past | Accepting new patients |
| Capital Eye Physicians & Surgeons, LLC | Ophthalmology | Past | Accepting new patients |
Locations
1160 Varnum St NE
Ste 11
Washington, DC 20017
Phone (202) 529-5200
750 1st St NE
Ste 1020
Washington, DC 20002
Phone (202) 906-8353
2002 Medical Pkwy
Ste 320
Annapolis, MD 21401
2661 Riva Rd
Ste 1030
Annapolis, MD 21401
3110 Timanus Dr
Baltimore, MD 21244
Phone (410) 645-1322
1005 N Point Blvd
Ste 704
Baltimore, MD 21224
Phone (410) 282-6767
6231 N Charles St
Ste 1
Baltimore, MD 21212
Phone (410) 337-2044
716 Maiden Choice Ln
Ste 102
Catonsville, MD 21228
Phone (410) 337-4500
5454 Wisconsin Ave
Ste 1420
Chevy Chase, MD 20815
Phone (301) 718-8616
1600 Crain Hwy S
Ste 601
Glen Burnie, MD 21061
Phone (410) 277-3937
9106 Philadelphia Rd
Ste 314
Rosedale, MD 21237
Phone (410) 277-3937
1635 N George Mason Dr
Ste 100
Arlington, VA 22205
Phone (703) 524-5777
Interoperability endpoints
- tgancayco@vip.emadirect.md
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.
-
- Ophthalmology Physician
- McLean, VA
- NPI 1760036206
-
- Ophthalmology Physician
- Washington, DC
- NPI 1437175684
-
- Ophthalmology Physician
- Bowie, MD
- NPI 1245247840
-
- Ophthalmology Physician
- Bowie, MD
- NPI 1154451219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774051200000",
"number": "1932217262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2661 RIVA RD STE 1030",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017131",
"telephone_number": "667-354-5528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 VARNUM ST NE STE 11",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200172110",
"telephone_number": "202-529-5200",
"fax_number": "202-269-3462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANCAYCO",
"first_name": "THEODORE",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-28",
"last_updated": "2026-03-21",
"certification_date": "2026-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MD",
"license": "D0038919",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "DC",
"license": "MD20277",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "060221300",
"state": "MD"
}
],
"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 Mar 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.