Individual provider Active NPI

Barry Alan Mandell, MD

  • Ophthalmology Physician
  • Virginia Beach, VA
National Provider Identifier
1972587491
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101057334 Issued in VA
Practice address
397 Little Neck Rd
3300 South BLDG Ste. 202
Virginia Beach, VA 23452-5765
Phone
(757) 227-4300
Fax
(757) 486-3125
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101057334 VA Primary

Addresses

Primary practice location

397 Little Neck Rd
3300 South BLDG Ste. 202
Virginia Beach, VA 23452-5765

Mailing address

397 Little Neck Rd
3300 South BLDG Ste. 202
Virginia Beach, VA 23452-5765
Phone (757) 227-4300

Other identifiers 5

IdentifierTypeStateIssuer
12133OtherVAOPTIMA
CN4826OtherVAMEDICARE RAILROAD
243434OtherVAANTHEM
DF9144OtherVAMEDICARE RAILROAD
006305555MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 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
I20070511000216 VA Practitioner - Ophthalmology 0941306724 Reassigns benefits to 1 organization
I20070809000352 NC Practitioner - Ophthalmology 0941306724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Virginia Commonwealth University, School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mandell Retina Center PCGroup PAC ID 5799881561, 3 clinicians

Practice addresses (Care Compare)

1503 N Rd St
Elizabeth City, NC 27909-3243
Phone (757) 727-4300

397 Little Neck Rd
Virginia Beach, VA 23452-5765

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

State licenses

LicenseStateTypeSpecialty
0101057334VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mandell Retina Center PC Ophthalmology CurrentSince Apr 16, 2007 Accepting new patients
The Retina Institute LLC Ophthalmology Past Accepting new patients

Locations

1138 N Road St
Elizabeth Cty, NC 27909
Phone (252) 335-4890

1503 N Road St
Elizabeth Cty, NC 27909
Phone 25233554462237

204 Carmichael Way
Chesapeake, VA 23322
Phone (757) 227-4300

397 Little Neck Rd
Ste 2
Virginia Beach, VA 23452
Phone (757) 227-4300

397 Little Neck Rd
#3300S
Virginia Beach, VA 23452
Phone (757) 333-3870

397 Little Neck Rd
Ste 202
Virginia Beach, VA 23452
Phone (757) 227-4300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1972587491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 LITTLE NECK RD",
            "address_2": "3300 SOUTH BLDG STE. 202",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234525765",
            "telephone_number": "757-227-4300",
            "fax_number": "757-486-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 LITTLE NECK RD",
            "address_2": "3300 SOUTH BLDG STE. 202",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234525765",
            "telephone_number": "757-227-4300",
            "fax_number": "757-486-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDELL",
        "first_name": "BARRY",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101057334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "12133",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CN4826",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "243434",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DF9144",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006305555",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.