DR. MONICA DILIP DALAL M.D.
NPI 1164625562
Ophthalmology in Washington, DC

Active since June 06, 2007PECOS EnrolledAccepts Medicare Assignment
2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037(202) 741-2800(202) 741-2805 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2023, Nov 29, 2022, Sep 19, 2022 and 2 more (5 updates tracked since 2021).

About Dr. Monica Dilip Dalal M.d. NPPES

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

DR. MONICA DILIP DALAL M.D. (NPI 1164625562) is an individual ophthalmology provider in Washington, District Of Columbia, licensed in District Of Columbia (MD041384) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sterling, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1164625562
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. MONICA DILIP DALALCredential: M.D.
Location Address2150 PENNSYLVANIA AVE NWWashington, DC 20037-3201
Mailing Address224-d Cornwall St. Nw Suite 403Leesburg, VA 20176-2704 · (703) 737-6010 · Fax (571) 291-9786
Fax(202) 741-2805
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 6, 2007
Last NPPES UpdateOctober 9, 20235 updates tracked since enumeration
NPPES CertifiedOctober 9, 2023
✔ NPI 1164625562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in DC · MD041384✔ Licensed in VA · 0101249757
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.
2150 PENNSYLVANIA AVE NW, Washington, DC 20037

Secondary Practice Location 1

Location 121475 Ridgetop Circle Suite 300Sterling, VA 20166-8580 · Phone (703) 430-4400 · Fax (703) 430-4130

Other Identifiers 1

Medicaid1164625562VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Monica Dilip Dalal M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224272000
PECOS Enrollment IDI20130917000607, I20220722001900
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Monica Dalal reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
2150 PENNSYLVANIA AVE NW, SUITE 10-409A
Washington, DC 20037
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,275 clinicians in this Medicare group
Ophthalmology
3301 WOODBURN RD STE 204
Annandale, VA 22003
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • Also billed through NPI 1144289661 (Virginia)
  • 24 clinicians in this Medicare group
Urgent Care
46440 BENEDICT DRIVE, SUITE 107
Sterling, VA 20164
  • Reassigned Medicare billing, Virginia enrollment
  • 291 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
569 services281 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
351 services253 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
296 services45 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
227 services69 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
190 services131 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
73 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
2150 PENNSYLVANIA AVE NW, SUITE 5-416
WASHINGTON, DC 20037
Obstetrics & Gynecology (Obstetrics)
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Student in an Organized Health Care Education/Training Program
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Student in an Organized Health Care Education/Training Program
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Obstetrics & Gynecology (Maternal & Fetal Medicine)
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Internal Medicine (Hematology & Oncology)
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Internal Medicine (Rheumatology)
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Internal Medicine
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037

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 Monica Dalal's NPI number?

The NPI number for Monica Dalal is 1164625562. It was assigned to this individual provider in the NPPES registry on June 6, 2007.

Where is Monica Dalal located?

Monica Dalal practices at 2150 Pennsylvania Ave NW, Washington, DC 20037. The listed phone number is (202) 741-2800.

What is Monica Dalal's specialty?

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

Is Monica Dalal enrolled in Medicare?

Yes. Monica Dalal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Monica Dalal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monica Dalal reassigns Medicare benefits to 3 organizations: Medical Faculty Associates, Inc (Washington, DC), Dulles Eye Associates, P.C. (Annandale, VA) and Loudoun Medical Group, PC (Sterling, VA). Each 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 Monica Dalal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Monica Dalal was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.