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RETINA SPECIALIST PC
NPI 1275569048
Ophthalmology in New York, NY

Active since June 24, 2006
20 W 13TH ST, SUITE 422, NEW YORK, NY 10011(212) 604-9800(212) 242-4757 Get Directions Write a Review

NPPES record last updated: March 19, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Retina Specialist Pc NPPES

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

RETINA SPECIALIST PC (NPI 1275569048) is a healthcare organization registered as an ophthalmology in New York, New York and active in the NPI registry since June 2006. The organization lists John J Khadem, President, as its authorized official.

NPPES Registry Identity

NPI1275569048
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameRETINA SPECIALIST PC
Location Address20 W 13TH ST, SUITE 422New York, NY 10011-7995
Mailing Address20 W 13th StNew York, NY 10011-7995 · (212) 604-9800 · Fax (212) 242-4757
Phone(212) 604-9800
Fax(212) 242-4757
Organization SubpartNo
Authorized OfficialJohn J KhademPresident · (212) 604-9800
Enumeration DateJune 24, 2006
Last NPPES UpdateMarch 19, 2015
✔ NPI 1275569048 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
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
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Other Identifiers 1

Medicare UPING11518NY

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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Retina Specialist PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

John Khadem, M.D., M.P.H.
Ophthalmology
NPI 1477530012
20 W 13TH ST
New York, NY 10011
(212) 604-9800
✔ PECOS✔ Accepts Medicare0.1 mi

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 Retina Specialist PC's NPI number?

The NPI number for Retina Specialist PC is 1275569048. It was assigned to this organization in the NPPES registry on June 24, 2006.

Where is Retina Specialist PC located?

Retina Specialist PC is located at 20 W 13th St Suite 422, New York, NY 10011. The listed phone number is (212) 604-9800.

What is Retina Specialist PC's specialty?

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

Is Retina Specialist PC enrolled in Medicare?

Yes. Retina Specialist PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Retina Specialist PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Retina Specialist PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Retina Specialist PC was last updated on March 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.