Individual provider Active NPI

Neha Priyavadan Serrano, MD

  • Ophthalmology Physician
  • Annapolis, MD
National Provider Identifier
1952569469
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0074834 Issued in MD
Practice address
2002 Medical Pkwy
Suite 450
Annapolis, MD 21401-3046
Phone
(410) 224-6681
Fax
(410) 224-4620
NPI assigned
May 30, 2008
Last updated
Feb 27, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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 2011-00197 NC
Ophthalmology Physician 207W00000X D0074834 MD Primary

Addresses

Primary practice location

2002 Medical Pkwy
Suite 450
Annapolis, MD 21401-3046

Mailing address

2002 Medical Pkwy
Suite 450
Annapolis, MD 21401-3046
Phone (410) 224-6681

Other names 1

  • Neha Priyavadan Shah Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20121120000343 DC Practitioner - Ophthalmology 4688839699 Reassigns benefits to 1 organization
I20180720003153 VA Practitioner - Ophthalmology 4688839699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Georgetown University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Retina SpecialistsGroup PAC ID 0446558183, 5 clinicians

Practice addresses (Care Compare)

1850 Town Ctr Pkwy
Reston, VA 20190-3300
Phone (703) 435-8400

4565 Daisy Reid Ave
Suite 300
Woodbridge, VA 22192-5671
Phone (571) 529-5022

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Retina Specialists Ophthalmology CurrentSince Jul 1, 2018 Accepting new patients
The Retina Group of Washington, PLLC Ophthalmology Past Accepting new patients

Locations

6400 Arlington Blvd
Ste 600
Falls Church, VA 22042
Phone (703) 288-9001

6565 Arlington Blvd
Ste 400
Falls Church, VA 22042
Phone (703) 288-9001

1850 Town Center Pkwy
Ste 564
Reston, VA 20190
Phone (703) 435-8400

4565 Daisy Reid Ave
Ste 300
Woodbridge, VA 22192
Phone (571) 529-5022

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": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1952569469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 MEDICAL PKWY",
            "address_2": "SUITE 450",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013046",
            "telephone_number": "410-224-6681",
            "fax_number": "410-224-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 MEDICAL PKWY",
            "address_2": "SUITE 450",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013046",
            "telephone_number": "410-224-6681",
            "fax_number": "410-224-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "NEHA",
        "middle_name": "PRIYAVADAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2011-00197",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0074834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEHA",
            "last_name": "SHAH",
            "middle_name": "PRIYAVADAN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.