Active NPI
Michael A Dankovich, OD
- Optometrist
- Jeffersonville, IN
National Provider Identifier
1013913326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18002863A
- Practice address
- 302 W 14TH St
Ste 100
Jeffersonville, IN 47130-3751 - Phone
- (812) 284-0660
- Fax
- (812) 284-3822
- NPI assigned
- Jun 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18002863A | IN | Primary |
Addresses
Primary practice location
302 W 14TH St
Ste 100
Jeffersonville, IN 47130-3751
Mailing address
302 W 14TH St
Ste 100
Jeffersonville, IN 47130-3751
Phone (812) 284-0660
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200153160 | Medicaid | IN | |
| 351995025 | Other | UNITED HEALTH | |
| 245025P | Other | SIHO | |
| 33838 | Other | IHN | |
| 351995025 | Other | SAGAMORE | |
| 351995025 | Other | CIGNA | |
| 5822525 | Other | FIRST HEALTH | |
| 351995025 | Other | HUMANA | |
| 000000042710 | Other | ANTHEM | |
| 5622525 | Other | AETNA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michael.dankovich.od@direct.have2020.nextgenshare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1919 State St
Suite 140
New Albany, IN 47150-6803
Phone (812) 944-2099
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.8 of 100
- Quality
- 93.82
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.84
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Associates of Southern Indiana PC | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Jeffersonville, IN
- NPI 1336219922
-
- Durable Medical Equipment & Medical Supplies
- New Albany, IN
- NPI 1083607592
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603238400000",
"number": "1013913326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 W 14TH ST",
"address_2": "STE 100",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303751",
"telephone_number": "812-284-0660",
"fax_number": "812-284-3822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 W 14TH ST",
"address_2": "STE 100",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303751",
"telephone_number": "812-284-0660",
"fax_number": "812-284-3822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANKOVICH",
"first_name": "MICHAEL",
"middle_name": "A",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18002863A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200153160",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH",
"identifier": "351995025",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIHO",
"identifier": "245025P",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHN",
"identifier": "33838",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAGAMORE",
"identifier": "351995025",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "351995025",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "5822525",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "351995025",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000042710",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5622525",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michael.dankovich.od@direct.have2020.nextgenshare.com",
"affiliation": "N",
"endpointDescription": "Provider Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Provider Direct Email Address",
"address_1": "302 W 14th St",
"address_2": "Ste 100",
"city": "Jeffersonville",
"state": "IN",
"country_code": "US",
"postal_code": "471303751",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jeffersonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.