ALEX DERTAD MANGUIKIAN M.D. PH.D. NPI 1164657342

NPI Information

  • NPI: 1164657342
  • Provider Name: ALEX DERTAD MANGUIKIAN, M.D., PH.D.
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9936 MAIN ST
    FAIRFAX, VA
    ZIP 22031
  • Phone: (703) 591-4884

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NPI Details

Alex Dertad Manguikian, M.D., PH.D. is an ophthalmology in Fairfax, VA with 16 years of experience. The provider is 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. Alex Dertad Manguikian, M.D., PH.D. NPI is 1164657342. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

9936 MAIN ST
FAIRFAX, VA
ZIP 22031-901
Phone: (703) 591-4884

The NPI 1164657342 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Imaging of retina (HCPCS:92134)
  • Measurement of corneal curvature and depth of eye (HCPCS:92136)
  • Photography of the retina (HCPCS:92250)
  • Exam of visual field with extended testing (HCPCS:92083)
  • Imaging of optic nerve (HCPCS:92133)
  • Established patient complete exam of visual system (HCPCS:92014)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Measurement of corneal curvature and depth of eye (HCPCS:92136)
  • Extended exam of the back part of the eye with optic nerve drawing (HCPCS:92202)
  • Exam to measure eye deviation and range of motion (HCPCS:92060)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 5/18/2009 and was last updated on 3/19/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmology0101253390VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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