NPIMap

Individual provider Active NPI

Charles H Rheeman, MD

  • Ophthalmology Physician
  • Malta, NY
National Provider Identifier
1073572236
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
207362-01 Issued in NY
Practice address
658 Malta Ave
Ste 101
Malta, NY 12020
Phone
(518) 580-0553
Fax
(518) 580-0557
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 207362 NY
Ophthalmology Physician 207W00000X 207362-01 NY Primary

Addresses

Primary practice location

658 Malta Ave
Ste 101
Malta, NY 12020

Mailing address

658 Malta Ave
Ste 101
Malta, NY 12020
Phone (518) 580-0553

Other identifiers 2

IdentifierTypeStateIssuer
03425445MedicaidNY
01948654MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040109000500 NY Practitioner - Ophthalmology 7012816168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Albany Medical College of Union University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saratoga Vitreo-Retinal Ophthalmology PLLCGroup PAC ID 7719078161, 14 clinicians

Practice addresses (Care Compare)

2200 Burdett Ave
Suite 206
Troy, NY 12180-2451
Phone (518) 580-0553

Hospital & facility affiliations

  • Saratoga Hospital Hospital, Saratoga Springs, NY, CCN 330222
  • Samaritan Hospital of Troy, New York Hospital, Troy, NY, CCN 330180
  • Glens Falls Hospital Hospital, Glens Falls, NY, CCN 330191
  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013
  • Elizabethtown Community Hospital Hospital, Elizabethtown, NY, CCN 331302

Merit-based Incentive Payment System (MIPS)

Final score
94.28 of 100Reported as group
Quality
88.56
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207362-01NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Current Accepting new patients
Albany Medical College Current Accepting new patients
Natalie Lopasic, M.D., PLLC Ophthalmology PastSince Jan 1, 2000 Accepting new patients
John R. Kearney, MD, Eye Physician & Surgeon, PC Ophthalmology Past Accepting new patients
Eyestudiony PastSince Jun 1, 2014 Accepting new patients

Locations

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

Interoperability endpoints

  • Direct secure messaging: crheeman834382@direct.trinity-health.org
  • Direct secure messaging: drcrheeman@eyesny.medentdirect.com

Organizations & group practices 6

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 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1073572236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 MALTA AVE",
            "address_2": "STE 101",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "12020",
            "telephone_number": "518-580-0553",
            "fax_number": "518-580-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 MALTA AVE",
            "address_2": "STE 101",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "12020",
            "telephone_number": "518-580-0553",
            "fax_number": "518-580-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHEEMAN",
        "first_name": "CHARLES",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "207362",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "207362-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03425445",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01948654",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malta, NY

Sources for this page

Verify at the official NPI Registry.