Individual provider Active NPI

Ronald Lee Anderson, M.D.

  • Ophthalmology Physician
  • Washington, DC
National Provider Identifier
1932267085
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD25663 Issued in DC
Practice address
2041 Martin Luther King Jr Ave SE
Suite 102
Washington, DC 20020-7024
Phone
(202) 889-5700
Fax
(202) 610-1861
NPI assigned
Dec 4, 2006
Last updated
Dec 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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 MD25663 DC Primary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X MD25663 DC

Addresses

Primary practice location

2041 Martin Luther King Jr Ave SE
Suite 102
Washington, DC 20020-7024

Mailing address

106 Irving St NW
Pob Suite 214 South Tower
Washington, DC 20010-2927
Phone (202) 877-6944

Other identifiers 1

IdentifierTypeStateIssuer
021821600MedicaidDC

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
I20100204000841 DC Practitioner - Ophthalmology 1557404191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Howard University College of Medicine, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ronald L Anderson, MD PCGroup PAC ID 4284777533, 2 clinicians

Practice addresses (Care Compare)

2041 Martin Luther King Ave SE
Suite 102
Washington, DC 20020-7033
Phone (202) 889-5700

Merit-based Incentive Payment System (MIPS)

Final score
94.35 of 100Reported as group
Quality
77.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD25663DCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald L Anderson, MD PC Ophthalmology CurrentSince Nov 30, 2009 Accepting new patients
Washington National Eye Center Ophthalmology Past Accepting new patients

Locations

106 Irving St NW
Ste 214
Washington, DC 20010
Phone (301) 442-9061

2041 Martin Luther King Jr Ave SE
Ste 102
Washington, DC 20020
Phone (202) 889-5700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20012/brand/1/csg/1/fhir/r4
  • Direct secure messaging: randerson@rla.direct.iopracticeware.com
  • Direct secure messaging: ronald.anderson.1@20012.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1932267085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 IRVING ST NW",
            "address_2": "POB SUITE 214 SOUTH TOWER",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102927",
            "telephone_number": "202-877-6944",
            "fax_number": "202-877-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 MARTIN LUTHER KING JR AVE SE",
            "address_2": "SUITE 102",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200207024",
            "telephone_number": "202-889-5700",
            "fax_number": "202-610-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "RONALD",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "MD25663",
            "primary": true
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "DC",
            "license": "MD25663",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021821600",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.