Individual provider Active NPI

Robert Bernard Kaufman, M.D.

  • Ophthalmology Physician
  • Damascus, MD
National Provider Identifier
1003885856
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0019071 Issued in MD
Practice address
26135 Ridge Rd
Damascus, MD 20872-1867
Phone
(301) 253-6565
Fax
(301) 253-1659
NPI assigned
Mar 15, 2006
Last updated
Jul 20, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D0019071 MD Primary

Addresses

Primary practice location

26135 Ridge Rd
Damascus, MD 20872-1867

Mailing address

10013 Weatherwood CT
Potomac, MD 20854-2171
Phone (301) 279-7448

Other identifiers 1

IdentifierTypeStateIssuer
251491500MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110222000763 DC Practitioner - Ophthalmology 8224226741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York at Buffalo School of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Visionary Ophthalmology LLCGroup PAC ID 4587795687, 17 clinicians

Practice addresses (Care Compare)

11300 Rockville Pike
Suite 1202
Rockville, MD 20852-3040
Phone (301) 896-0890

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0019071MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Visionary Ophthalmology LLC Ophthalmology CurrentSince Oct 17, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

26135 Ridge Rd
Damascus, MD 20872
Phone (301) 253-6565

11300 Rockville Pike
Ste 1202
Rockville, MD 20852
Phone (301) 896-0890

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1003885856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10013 WEATHERWOOD CT",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542171",
            "telephone_number": "301-279-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26135 RIDGE RD",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "208721867",
            "telephone_number": "301-253-6565",
            "fax_number": "301-253-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "ROBERT",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0019071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251491500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Damascus, MD

Sources for this page

Verify at the official NPI Registry.