NPIMap

Individual provider Active NPI

Mazin K Yaldo, MD

  • Ophthalmology Physician
  • Farmington Hills, MI
National Provider Identifier
1043221187
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301051955 Issued in MI
Practice address
28501 Orchard Lake Rd
Suite 120
Farmington Hills, MI 48334-2951
Phone
(313) 278-4540
NPI assigned
Aug 11, 2006
Last updated
Sep 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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 4301051955 MI Primary

Addresses

Primary practice location

28501 Orchard Lake Rd
Suite 120
Farmington Hills, MI 48334-2951

Mailing address

28501 Orchard Lake Rd
Suite 120
Farmington Hills, MI 48334-2951
Phone (313) 278-4540

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071005000750 MI Practitioner - Ophthalmology 8426952631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

28501 Orchard Lake Rd
Farmington Hills, MI 48334-2951
Phone 2485539800304

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
92.55
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery73
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301051955MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mazin K Yaldo MD PC Ophthalmology CurrentSince Mar 1, 2013 Accepting new patients
Associated Surgical Center, P.C. PastSince Aug 1, 2003 Accepting new patients
Associated Eye Institutes of Detroit, PC Ophthalmology PastSince Oct 1, 1995 Accepting new patients
Associated Eye Specialists of Farmington Hills, PC Ophthalmology PastSince Dec 1, 1992 Accepting new patients
Michigan Glaucoma Institute PC Ophthalmology PastSince Dec 1, 1992 Accepting new patients
Associated Eye Specialists of Troy, PC Ophthalmology PastSince Mar 9, 2007 Accepting new patients
Yaldo Eye Centers PC Past Accepting new patients

Locations

2810 Camino del Rio S
Ste 10
San Diego, CA 92108
Phone (619) 255-6584

31535 Ford Rd
Garden City, MI 48135
Phone (313) 278-4540

31535 Ford Rd
Ste 100
Garden City, MI 48135
Phone (313) 278-4540

Interoperability endpoints

  • Direct secure messaging: myaldo@yaldoeyecenter.direct.eyemdemr.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1043221187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28501 ORCHARD LAKE RD",
            "address_2": "SUITE 120",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342951",
            "telephone_number": "313-278-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28501 ORCHARD LAKE RD",
            "address_2": "SUITE 120",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342951",
            "telephone_number": "313-278-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YALDO",
        "first_name": "MAZIN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301051955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.