Individual provider Active NPI

Neil Bryan Zusman, M.D.

  • Ophthalmology Physician
  • Port Charlotte, FL
National Provider Identifier
1073588604
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME53134 Issued in FL
Practice address
3430 Tamiami TRL
Suite a
Port Charlotte, FL 33952-8127
Phone
(941) 624-4500
Fax
(941) 624-6066
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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 ME53134 FL Primary

Addresses

Primary practice location

3430 Tamiami TRL
Suite a
Port Charlotte, FL 33952-8127

Mailing address

PO Box 495658
Port Charlotte, FL 33949-5658
Phone (941) 624-4500

Other identifiers 2

IdentifierTypeStateIssuer
180035780OtherRR MEDICARE
051561200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100320000189 FL Practitioner - Ophthalmology 4082684386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harborside Eye Specialists, P.a.Group PAC ID 8022088319, 2 clinicians

Practice addresses (Care Compare)

3430 Tamiami TRL
Suite a
PT Charlotte, FL 33952-8148
Phone (941) 624-4500

Merit-based Incentive Payment System (MIPS)

Final score
93.02 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery36
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harborside Eye Specialists, P.a. Ophthalmology CurrentSince Jul 1, 2002 Accepting new patients
Arturo Rodriguez-Martin MD PL Past Accepting new patients

Locations

3430 Tamiami Trl
Ste A
Pt Charlotte, FL 33952
Phone (941) 624-4500

23970 Suncoast Blvd
Punta Gorda, FL 33980
Phone (941) 584-6272

Interoperability endpoints

  • Direct secure messaging: nzusman@hes.intellechartdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1073588604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 495658",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339495658",
            "telephone_number": "941-624-4500",
            "fax_number": "941-624-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 TAMIAMI TRL",
            "address_2": "SUITE A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528127",
            "telephone_number": "941-624-4500",
            "fax_number": "941-624-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUSMAN",
        "first_name": "NEIL",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME53134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "180035780",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051561200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.