Active NPI
Deepak Sambhara, M.D.
- Ophthalmology Physician
- Wausau, WI
National Provider Identifier
1083024574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 71112-20
- Practice address
- 800 N 1St St
Wausau, WI 54403-4754 - Phone
- (715) 261-8500
- NPI assigned
- May 6, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 71112-20 | WI | Primary |
Addresses
Primary practice location
800 N 1St St
Wausau, WI 54403-4754
Mailing address
800 N 1St St
Wausau, WI 54403-4754
Phone (715) 261-8557
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dsambhara@directaddress.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 N 1St St
Wausau, WI 54403-4754
Phone (715) 261-8500
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.35 of 100
- Quality
- 96.34
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71112-20 | WI | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Clinic of Wisconsin SC | Ophthalmology | Current | Accepting new patients |
| Eye Clinic of Wisconsin, SC | Ophthalmology | Current | Accepting new patients |
| Eye Clinic of Wisconsin, S.C. | Ophthalmology | Past | Accepting new patients |
Locations
101 S Gibson St
#16
Medford, WI 54451
Phone (715) 748-5775
2 E Ocala St
Rhinelander, WI 54501
Phone (715) 362-2600
3401 Stanley St
Stevens Point, WI 54481
Phone (715) 344-6544
800 N 1st St
Wausau, WI 54403
Phone (715) 261-8500
841 Goodnow Ave
Ste 103
Wisconsin Rapids, WI 54494
Phone (715) 261-8500
Interoperability endpoints
- dsambhara@directaddress.net
- dsambhara@eyeclinicwi.intellechartdirect.net
Organizations & group practices 3
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.
-
- Ophthalmology Physician
- Wausau, WI
- NPI 1740263458
-
- Ophthalmology Physician
- Wisconsin Rapids, WI
- NPI 1114315587
-
- Ophthalmology Physician
- Medford, WI
- NPI 1285617936
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wausau, WI
- NPI 1558363986
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1598375271
-
- General Acute Care Hospital
- Wausau, WI
- NPI 1902923170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602028800000",
"number": "1083024574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 N 1ST ST",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544034754",
"telephone_number": "715-261-8557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N 1ST ST",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544034754",
"telephone_number": "715-261-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMBHARA",
"first_name": "DEEPAK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-06",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WI",
"license": "71112-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dsambhara@directaddress.net",
"affiliation": "N",
"address_1": "800 N 1st St",
"city": "Wausau",
"state": "WI",
"country_code": "US",
"postal_code": "544034754",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.