Individual provider Active NPI

Donna B Ornitz, MD

  • Ophthalmology Physician
  • San Mateo, CA
National Provider Identifier
1073528790
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G69819 Issued in CA
Practice address
101 South San Mateo Drive
Suite 310
San Mateo, CA 94401-3844
Phone
(650) 342-7474
Fax
(650) 342-9260
NPI assigned
Jul 30, 2006
Last updated
Oct 23, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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 G69819 CA Primary

Addresses

Primary practice location

101 South San Mateo Drive
Suite 310
San Mateo, CA 94401-3844

Mailing address

101 South San Mateo Drive
Suite 310
San Mateo, CA 94401-3844
Phone (650) 342-7474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20070702000566 CA Practitioner - Ophthalmology 8820041098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, San Francisco School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Eye Physicians Medical Group,Inc.Group PAC ID 9032162292, 9 clinicians

Practice addresses (Care Compare)

101 S San Mateo Dr
Suite 310
San Mateo, CA 94401-3844
Phone (650) 342-7474

Merit-based Incentive Payment System (MIPS)

Final score
84.94 of 100Reported as group
Quality
88.66
Promoting interoperability
94
Improvement activities
40
Cost
66.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G69819CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Eye Physicians Medical Group,Inc. Ophthalmology CurrentSince Apr 10, 1978 Accepting new patients
Childrens Eye Center PC Ophthalmology PastSince Aug 17, 2015 Accepting new patients

Locations

101 S San Mateo Dr
Ste 310
San Mateo, CA 94401
Phone (650) 235-7522

Interoperability endpoints

  • Direct secure messaging: dornitz46045@hisp.ehr.sutterhealth.org

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": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1073528790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SOUTH SAN MATEO DRIVE",
            "address_2": "SUITE 310",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013844",
            "telephone_number": "650-342-7474",
            "fax_number": "650-342-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SOUTH SAN MATEO DRIVE",
            "address_2": "SUITE 310",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013844",
            "telephone_number": "650-342-7474",
            "fax_number": "650-342-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORNITZ",
        "first_name": "DONNA",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G69819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.