Individual provider Active NPI

Richard Nauheim, MD

  • Ophthalmology Physician
  • Merrick, NY
National Provider Identifier
1063417566
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
162799 Issued in NY
Practice address
2025 Merrick Ave
Merrick, NY 11566-3146
Phone
(516) 868-7110
Fax
(516) 868-7380
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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 162799 NY Primary

Addresses

Primary practice location

2025 Merrick Ave
Merrick, NY 11566-3146

Mailing address

2025 Merrick Ave
Merrick, NY 11566-3146
Phone (516) 868-7110

Other identifiers 1

IdentifierTypeStateIssuer
01190876MedicaidNY

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
I20101209001087 NY Practitioner - Ophthalmology 0749477255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York at Buffalo School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2025 Merrick Ave
Merrick, NY 11566-3146
Phone (516) 868-7110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as individual
Quality
89.02
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
162799NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J S Nauheim MD PC Ophthalmology CurrentSince Oct 1, 1989 Accepting new patients

Locations

2025 Merrick Ave
North Merrick, NY 11566
Phone (516) 868-7100

Organizations & group practices 1

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.

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1063417566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663146",
            "telephone_number": "516-868-7110",
            "fax_number": "516-868-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663146",
            "telephone_number": "516-868-7110",
            "fax_number": "516-868-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAUHEIM",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "162799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01190876",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

Verify at the official NPI Registry.