Individual provider Active NPI

John C Nichols, MD

  • Ophthalmology Physician
  • Fishkill, NY
National Provider Identifier
1023108115
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
256200 Issued in NY
Practice address
200 Westage Business Ctr Dr
Suite 110
Fishkill, NY 12524-2264
Phone
(845) 896-9280
Fax
(845) 896-0246
NPI assigned
Oct 13, 2006
Last updated
Sep 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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 256200 NY Primary

Addresses

Primary practice location

200 Westage Business Ctr Dr
Suite 110
Fishkill, NY 12524-2264

Mailing address

200 Westage Business Ctr Dr
Suite 110
Fishkill, NY 12524-2264
Phone (845) 896-9280

Other identifiers 1

IdentifierTypeStateIssuer
03197142MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100706000476 NY Practitioner - Ophthalmology 5395876437 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Arizona College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson Valley Eye SurgeonsGroup PAC ID 6002707254, 8 clinicians
Sight Medical Doctors PLLCGroup PAC ID 5991935173, 115 clinicians

Practice addresses (Care Compare)

200 Westage Business Ctr Dr
Suite 110
Fishkill, NY 12524-2269
Phone (845) 896-9280

450 Mamaroneck Ave
Suite 402
Harrison, NY 10528-2430
Phone (855) 295-4144

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.69 of 100Reported as group
Quality
94.23
Improvement activities
40
Cost
10

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery346

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Eye Surgeons Ophthalmology CurrentSince Apr 22, 2010 Accepting new patients

Locations

200 Westage Business Ctr Dr
Ste 110
Fishkill, NY 12524
Phone (845) 896-5519

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1023108115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WESTAGE BUSINESS CTR DR",
            "address_2": "SUITE 110",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242264",
            "telephone_number": "845-896-9280",
            "fax_number": "845-896-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WESTAGE BUSINESS CTR DR",
            "address_2": "SUITE 110",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242264",
            "telephone_number": "845-896-9280",
            "fax_number": "845-896-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "256200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03197142",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

Verify at the official NPI Registry.