BETHESDA RETINA,LLC
NPI 1790014082
Ophthalmology in Bethesda, MD

Active since December 15, 2009
10215 FERNWOOD RD, SUITE 305, BETHESDA, MD 20817(301) 896-0101 Get Directions Write a Review

NPPES record last updated: December 15, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bethesda Retina,llc NPPES

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

BETHESDA RETINA,LLC (NPI 1790014082) is a healthcare organization registered as an ophthalmology in Bethesda, Maryland and active in the NPI registry since December 2009. The organization lists Srinivas M Sastry, Owner, as its authorized official.

NPPES Registry Identity

NPI1790014082
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameBETHESDA RETINA,LLC
Location Address10215 FERNWOOD RD, SUITE 305Bethesda, MD 20817-1106
Mailing AddressP.o. Box 1375Waldorf, MD 20604
Organization SubpartNo
Authorized OfficialSrinivas M SastryOwner · (301) 843-9971
Enumeration DateDecember 15, 2009
✔ NPI 1790014082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
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.
10215 FERNWOOD RD, Bethesda, MD 20817

Other Identifiers 5

Other1277702United Healthcare
Medicaid486910900MD
Medicare PIN697QMD
Other349918Alliance
Medicare UPING30354

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)

Bethesda Retina,llc 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 Bethesda Retina,llc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ophthalmology
NPI 1952312662
10215 FERNWOOD RD SUITE 305
Bethesda, MD 20817
(301) 843-9971
✔ 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 Bethesda Retina,llc's NPI number?

The NPI number for Bethesda Retina,llc is 1790014082. It was assigned to this organization in the NPPES registry on December 15, 2009.

Where is Bethesda Retina,llc located?

Bethesda Retina,llc is located at 10215 Fernwood Rd Suite 305, Bethesda, MD 20817. The listed phone number is (301) 896-0101.

What is Bethesda Retina,llc's specialty?

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

Is Bethesda Retina,llc enrolled in Medicare?

Yes. Bethesda Retina,llc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bethesda Retina,llc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Bethesda Retina,llc. 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 Bethesda Retina,llc was last updated on December 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.