Individual provider Active NPI

John David Mitchell, MD

  • Ophthalmology Physician
  • Vienna, VA
National Provider Identifier
1952442253
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
101042795 Issued in VA
Practice address
130 Park St SE Ste 300
Vienna, VA 22180-4626
Phone
(703) 938-2266
Fax
(703) 938-8332
NPI assigned
Feb 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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 D0052312 MD
Ophthalmology Physician 207W00000X MD30373 DC
Ophthalmology Physician 207W00000X 101042795 VA Primary

Addresses

Primary practice location

130 Park St SE Ste 300
Vienna, VA 22180-4626

Mailing address

420 Mountain Ave FL 4
New Providence, NJ 07974-2736

Other identifiers 1

IdentifierTypeStateIssuer
010041813MedicaidVA

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
I20040507000422 DC Practitioner - Ophthalmology 4486643251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Virginia School of Medicine, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

130 Park St SE
Suite 300
Vienna, VA 22180-4609

Merit-based Incentive Payment System (MIPS)

Final score
93.14 of 100Reported as group
Quality
99.47
Promoting interoperability
100
Improvement activities
40
Cost
77.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery303

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD30373DCMDOphthalmology Physician
101042795VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Retina Group of Washington, PLLC Ophthalmology CurrentSince Sep 1, 2022 Accepting new patients
Associated Retinal Consultants LLC Ophthalmology Current Accepting new patients
The Retina Group of Washington, PLLC Ophthalmology CurrentSince Sep 1, 2022 Accepting new patients
Washington National Eye Center Ophthalmology Past Accepting new patients

Locations

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

110 Irving St NW
#1A
Washington, DC 20010
Phone (202) 877-3937

8218 Wisconsin Ave
Ste P10
Bethesda, MD 20814
Phone (301) 652-7061

5454 Wisconsin Ave
Ste 650
Chevy Chase, MD 20815
Phone (301) 656-8100

9131 Piscataway Rd
Ste 500
Clinton, MD 20735
Phone (301) 868-8747

420 Mountain Ave
Fl 4
New Providnce, NJ 07974

130 Park St SE
Ste 300
Vienna, VA 22180
Phone (301) 656-2027

130 Park St SE
Vienna, VA 22180

Interoperability endpoints

  • Direct secure messaging: jmitchell@arcnj.intellechartdirect.net

Organizations & group practices 4

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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1952442253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 MOUNTAIN AVE FL 4",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079742736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PARK ST SE STE 300",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804626",
            "telephone_number": "703-938-2266",
            "fax_number": "703-938-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0052312",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "MD30373",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "101042795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010041813",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.