Individual provider Active NPI

Sundeep K Kasi, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Alexandria, VA
National Provider Identifier
1952697773
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
0101262441 Issued in VA
Practice address
6354 Walker LN FL 1
Alexandria, VA 22310-3229
Phone
(703) 313-7421
Fax
(703) 313-9422
NPI assigned
Jun 20, 2011
Last updated
Apr 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD045044 DC
Ophthalmology Physician 207W00000X MD453961 PA
Ophthalmology Physician 207W00000X 0101262441 VA
Retina Specialist (Ophthalmology) Physician 207WX0107X MD045044 DC
Retina Specialist (Ophthalmology) Physician 207WX0107X 0101262441 VA Primary

Addresses

Primary practice location

6354 Walker LN FL 1
Alexandria, VA 22310-3229

Mailing address

7501 Greenway Center Dr Ste 300
Greenbelt, MD 20770-3514
Phone (301) 474-4679

Other practice location 1

840 Walnut St
Suite 1020
Philadelphia, PA 19107-5109
Phone (800) 331-6634

Other identifiers 1

IdentifierTypeStateIssuer
1952697773MedicaidVA

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
I20170630000467 DC Practitioner - Ophthalmology 0143541094 Reassigns benefits to 1 organization
I20170713003576 VA Practitioner - Ophthalmology 0143541094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Perelman School of Med at the University of Pennsylvania, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10530 Linden Lake PLZ
Suite 305
Manassas, VA 20109-6434
Phone (703) 257-9270

6354 Walker LN
Suite 100
Alexandria, VA 22310-3242
Phone (703) 313-8822

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.3 of 100Reported as individual
Quality
95.1
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD045044DCMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Retina Group of Washington, PLLC Ophthalmology CurrentSince Aug 1, 2017 Accepting new patients
The Retina Group of Washington, PLLC Ophthalmology CurrentSince Aug 1, 2017 Accepting new patients

Locations

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

7501 Greenway Center Dr
Ste 300
Greenbelt, MD 20770
Phone (301) 441-4577

6354 Walker Ln
Fl 1
Alexandria, VA 22310
Phone (703) 313-7421

6354 Walker Ln
Ste 100
Alexandria, VA 22310
Phone (703) 313-8822

2800 S Shirlington Rd
Ste 801
Arlington, VA 22206
Phone (703) 842-9455

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

8270 Willow Oaks Corporate Dr
Ste 600
Fairfax, VA 22031
Phone (703) 698-9335

10530 Linden Lake Plz
Ste 305
Manassas, VA 20109
Phone (703) 257-9270

2296 Opitz Blvd
Ste 330
Woodbridge, VA 22191
Phone (703) 670-7600

4545 Daisy Reid Ave
Ste 150
Woodbridge, VA 22192
Phone (703) 468-4887

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1952697773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 GREENWAY CENTER DR STE 300",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703514",
            "telephone_number": "301-474-4679",
            "fax_number": "301-474-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6354 WALKER LN FL 1",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103229",
            "telephone_number": "703-313-7421",
            "fax_number": "703-313-9422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 Walnut St",
            "address_2": "Suite 1020",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191075109",
            "country_code": "US",
            "telephone_number": "800-331-6634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASI",
        "first_name": "SUNDEEP",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "MD045044",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD453961",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101262441",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "DC",
            "license": "MD045044",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "VA",
            "license": "0101262441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952697773",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.