ASSOCIATED RETINA SPECIALIST, PLLC
NPI 1013240936
Ophthalmology in New York, NY

Active since September 10, 2009
20 W 13TH ST, NEW YORK, NY 10011(212) 604-9800(212) 242-4757 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Associated Retina Specialist, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASSOCIATED RETINA SPECIALIST, PLLC (NPI 1013240936) is a healthcare organization registered as an ophthalmology in New York, New York and active in the NPI registry since September 2009. The organization lists John Khadem, Owner, as its authorized official.

NPPES Registry Identity

NPI1013240936
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameASSOCIATED RETINA SPECIALIST, PLLC
Location Address20 W 13TH STNew York, NY 10011-7995
Mailing Address20 W 13th StNew York, NY 10011-7995 · (212) 604-9800 · Fax (212) 242-4757
Fax(212) 242-4757
Organization SubpartNo
Authorized OfficialJohn KhademOwner · (212) 604-9800
Enumeration DateSeptember 10, 2009
Last NPPES UpdateOctober 7, 2020
NPPES CertifiedOctober 7, 2020
✔ NPI 1013240936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NY · 219303-1
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
20 W 13TH ST, New York, NY 10011

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Associated Retina Specialist, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Associated Retina Specialist, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Ophthalmology
NPI 1477530012
20 W 13TH ST
New York, NY 10011
(212) 604-9800
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1861525313
20 W 13TH ST
New York, NY 10011
(212) 604-9800
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Associated Retina Specialist, PLLC's NPI number?

The NPI number for Associated Retina Specialist, PLLC is 1013240936. It was assigned to this organization in the NPPES registry on September 10, 2009.

Where is Associated Retina Specialist, PLLC located?

Associated Retina Specialist, PLLC is located at 20 W 13th St, New York, NY 10011. The listed phone number is (212) 604-9800.

What is Associated Retina Specialist, PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Associated Retina Specialist, PLLC enrolled in Medicare?

Yes. Associated Retina Specialist, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Associated Retina Specialist, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Ophthalmology, reassign their Medicare billing to Associated Retina Specialist, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Associated Retina Specialist, PLLC was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.