Individual provider Active NPI

Michael Derek Westafer, M.D.

  • Ophthalmology Physician
  • Carson City, NV
National Provider Identifier
1033473913
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
17065 Issued in NV
Practice address
3475 GS Richards Blvd # 130
Carson City, NV 89703-8462
Phone
(775) 841-2000
Fax
(775) 841-4200
NPI assigned
Jun 26, 2012
Last updated
Mar 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 15241 CA
Ophthalmology Physician 207W00000X 128338 OH
Ophthalmology Physician 207W00000X 17065 NV Primary

Addresses

Primary practice location

3475 GS Richards Blvd # 130
Carson City, NV 89703-8462

Mailing address

3475 GS Richards Blvd Ste 130
Carson City, NV 89703-8462
Phone (775) 841-2000

Other practice location 1

9468 Double R Blvd Ste B
Reno, NV 89521-4808
Phone (775) 322-3333

Other practice location 2

75 Pringle Way Ste 605
Reno, NV 89502-1472
Phone (775) 841-2000

Other identifiers 1

IdentifierTypeStateIssuer
1033473913MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20170524002753 NV Practitioner - Ophthalmology 5890934970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of North Carolina at Chapel Hill School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Consultants of Nevada LLPGroup PAC ID 5193616449, 15 clinicians

Practice addresses (Care Compare)

1301 Bertha Howe Ave
Suite 11
Mesquite, NV 89027-7503
Phone (702) 369-0200

3475 GS Richards Blvd
Suite 130
Carson City, NV 89703-8462
Phone (775) 841-2000

653 N Town Ctr Dr
Suite 518
Las Vegas, NV 89144-0519
Phone (702) 369-0200

9468 Double R Blvd
Suite B
Reno, NV 89521-4808
Phone (775) 322-3333

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
92.12
Improvement activities
40
Cost
68.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery295

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17065NVMDOphthalmology Physician
128338OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Consultants of Nevada LLP Ophthalmology Current Accepting new patients
Retina Consultants of Nevada LLP Ophthalmology CurrentSince Mar 13, 2020 Accepting new patients
Retina Consultants of Nevada LLP Ophthalmology CurrentSince Mar 13, 2020 Accepting new patients
Carson Tahoe Regional Healthcare Past Accepting new patients
South Lyon Health Center, Inc. Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Mt Grant General Hospital Past Accepting new patients

Locations

3475 Gs Richards Blvd
#130
Carson City, NV 89703
Phone (775) 841-2000

50 S Stephanie St
Ste 101
Henderson, NV 89012

653 N Town Center Dr
Ste 518
Las Vegas, NV 89144

1301 Bertha Howe Ave
Ste 11
Mesquite, NV 89027
Phone (435) 656-2020

75 Pringle Way
Ste 605
Reno, NV 89502
Phone (775) 329-4500

9468 Double R Blvd
Ste B
Reno, NV 89521
Phone (775) 322-3333

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mwestafer@cepnv-snec.emadirect.md
  • Direct secure messaging: mwestafer421940@direct.med.utah.edu

Organizations & group practices 8

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": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1033473913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 GS RICHARDS BLVD STE 130",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897038462",
            "telephone_number": "775-841-2000",
            "fax_number": "775-841-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 GS RICHARDS BLVD # 130",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897038462",
            "telephone_number": "775-841-2000",
            "fax_number": "775-841-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9468 Double R Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895214808",
            "country_code": "US",
            "telephone_number": "775-322-3333",
            "fax_number": "775-322-3340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Pringle Way Ste 605",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895021472",
            "country_code": "US",
            "telephone_number": "775-841-2000",
            "fax_number": "775-841-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESTAFER",
        "first_name": "MICHAEL",
        "middle_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "15241",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "128338",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "17065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033473913",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.