Mohammad Karbassi, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

44707 Issued in CO

Practice address

205 S Main St
Suite D
Longmont, CO 80501-1716

Phone

(303) 772-3611

Fax

(303) 772-3609

NPI assigned

Jun 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Ophthalmology

Education

George Washington University School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Front Range Eye Physicians PCGroup PAC ID 2567615248, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.78 of 100Reported as group

Quality

100

Improvement activities

40

Cost

75.94

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mkarbassimd@frontrangeeye.direct.eyemdemr.com

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.

• Front Range Eye Physicians PC

  • Ophthalmology Physician
  • Longmont, CO
  • NPI 1881961316
  Medicare reassignment Care Compare group NPD
• Dennis J O'Connell, DO, PC

  • Ophthalmology Physician
  • Aurora, CO
  • NPI 1669438669
  NPD (past)
• Front Range Optical

  • Eyewear Supplier
  • Longmont, CO
  • NPI 1154487320
  NPD (past)
• Joel H. Goldstein MD PC

  • Ophthalmology Physician
  • Denver, CO
  • NPI 1952395600
  NPD (past)
• University Physicians Incorporated

  • Internal Medicine Physician
  • Aurora, CO
  • NPI 1962461889

  Ophthalmology

  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453075200000",
    "number": "1083659338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S MAIN ST",
            "address_2": "SUITE D",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011716",
            "telephone_number": "303-772-3611",
            "fax_number": "303-772-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S MAIN ST",
            "address_2": "SUITE D",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011716",
            "telephone_number": "303-772-3611",
            "fax_number": "303-772-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARBASSI",
        "first_name": "MOHAMMAD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2016-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "44707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BS",
            "identifier": "KAM4707",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE SPECIALISTS",
            "identifier": "931468",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5476659",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TOTAL LONG TERM CARE",
            "identifier": "841353910",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP",
            "identifier": "SS#841353910",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "44707",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROCKY MOUNTAIN HMO",
            "identifier": "841353910002",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason L Kaminski, O.D., F.A.A.O.
• Thomas E Kammer, D.D.S.
• Susan Kanemasu, CACIII
• Justin Michael Kanoff, M.D.
• Sasha Kapil, MD
• Melissa Karch, RDN
• Karen Eiffert LCSW Inc
• Emily Karlicek
• Shari Yasmin Karmen, OTR
• Tanya Karnavy, D.D.S.

• Ophthalmology Physician in Longmont, CO
• Providers in Longmont, CO by specialty
• Ophthalmology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; 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.

Verify at the official NPI Registry.