Individual provider Active NPI

Theodore A Gancayco, MD

  • Ophthalmology Physician
  • Washington, DC
National Provider Identifier
1932217262
Registry record updated Mar 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD20277 Issued in DC
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

Updated by the provider on Mar 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
060221300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070412000118 DC Practitioner - Ophthalmology 1951406487 Reassigns benefits to 1 organization
I20241203000663 MD Practitioner - Ophthalmology 1951406487 Reassigns benefits to 1 organization

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 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Chesapeake Eye Care & Laser Center LLC Ophthalmology CurrentSince Sep 1, 2019 Accepting new patients
Chesapeake Eye Care and Laser Center LLC Ophthalmology CurrentSince Sep 1, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.