Ahad A Fazelat, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

15150 Issued in NH

Practice address

250 River Rd
Manchester, NH 03104-2423

Phone

(603) 663-2020

Fax

(603) 668-0881

NPI assigned

May 12, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

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

Specialty

Ophthalmology

Education

Boston University School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Medical Eye Center PCGroup PAC ID 7315916095, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elliot Hospital Hospital, Manchester, NH, CCN 300012

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• The Medical Eye Center, P.C.

  • Ophthalmology Physician
  • Manchester, NH
  • NPI 1225004955
  Medicare reassignment Care Compare group NPD
• Elliot Professional Services

  • Internal Medicine Physician
  • Manchester, NH
  • NPI 1285627935
  Medicare reassignment NPD
• The Medical Eye Center, P.C.

  • Optometrist
  • Manchester, NH
  • NPI 1720230378
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Elliot Hospital of the City of Manchester

  • General Acute Care Hospital
  • Manchester, NH
  • NPI 1902996028
  Care Compare affiliation

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500595200000",
    "number": "1013141597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 RIVER RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042423",
            "telephone_number": "603-663-2020",
            "fax_number": "603-668-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 RIVER RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042423",
            "telephone_number": "603-663-2020",
            "fax_number": "603-668-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZELAT",
        "first_name": "AHAD",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-12",
        "last_updated": "2017-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NH",
            "license": "15150",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NH",
            "license": "15150",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tawasky Faulk
• Jessica Anne Fauteux, APRN
• Stephen Lee Fauteux, PT
• Elise Favreau
• Deserae Fawcett, BS
• Kaitlin Feaster, BS
• Michael Fecteau, R.PH.
• Michael Stephen Fedder, M.D.
• Robert Feder, M.D.
• Kristin Fedorchak

• Ophthalmology Physician in Manchester, NH
• Providers in Manchester, NH by specialty
• Ophthalmology Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.