Individual provider Active NPI

Ralph J Di Giovanni Jr., M.D.

  • Ophthalmology Physician
  • Bala Cynwyd, PA
National Provider Identifier
1053428144
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD071468L Issued in PA
Practice address
501 Belmont Ave
Bala Cynwyd, PA 19004-1302
Phone
(610) 667-4066
Fax
(610) 667-7955
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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 MD071468L PA Primary

Addresses

Primary practice location

501 Belmont Ave
Bala Cynwyd, PA 19004-1302

Mailing address

501 Belmont Ave
Bala Cynwyd, PA 19004-1302
Phone (610) 667-4066

Other identifiers 5

IdentifierTypeStateIssuer
P00100824OtherPARAILROAD MEDICARE
1319228OtherPABLUE SHIELD
2853818OtherPAAETNA
2012200000OtherPAKEYSTONE
2012200000OtherPAPERSONAL CHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20110323000110 PA Practitioner - Ophthalmology 5698986032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Temple University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marvin H. Greenbaum, M.D. PCGroup PAC ID 3577500354, 4 clinicians

Practice addresses (Care Compare)

501 Belmont Ave
Bala Cynwyd, PA 19004-1302
Phone (610) 667-4066

Merit-based Incentive Payment System (MIPS)

Final score
65.4 of 100Reported as group
Quality
100
Promoting interoperability
0
Improvement activities
40
Cost
67.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery323

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD071468LPAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marvin H. Greenbaum, M.D. PC Ophthalmology CurrentSince Jul 1, 2002 Accepting new patients
Bloom Eye Associates, LTD. Ophthalmology Past Accepting new patients

Locations

501 Belmont Ave
Belmont Hills, PA 19004
Phone (610) 667-4066

Interoperability endpoints

  • Direct secure messaging: rdigiovanni@balaeye.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1053428144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BELMONT AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041302",
            "telephone_number": "610-667-4066",
            "fax_number": "610-667-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BELMONT AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041302",
            "telephone_number": "610-667-4066",
            "fax_number": "610-667-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DI GIOVANNI",
        "first_name": "RALPH",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD071468L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00100824",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1319228",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2853818",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "2012200000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "2012200000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

Verify at the official NPI Registry.