Active NPI
John David Mitchell, MD
- Ophthalmology Physician
- Vienna, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 101042795
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010041813 | Medicaid | VA |
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
Enrollment records 1
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 100
- Quality
- 99.47
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.65
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 303 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD30373 | DC | MD | Ophthalmology Physician |
| 101042795 | VA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Retina Group of Washington, PLLC | Ophthalmology | Current | Accepting new patients |
| Associated Retinal Consultants LLC | Ophthalmology | Current | Accepting new patients |
| The Retina Group of Washington, PLLC | Ophthalmology | Current | 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
- 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.
-
- Ophthalmology Physician
- Newark, DE
- NPI 1164578894
-
- Durable Medical Equipment & Medical Supplies
- Chestertown, MD
- NPI 1760110894
Ophthalmology
-
- Ophthalmology Physician
- Washington, DC
- NPI 1437175684
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.