Individual provider Active NPI

Mujahid A Hines, MD

  • Ophthalmology Physician
  • Roseville, CA
National Provider Identifier
1083806541
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C170726 Issued in CA
Practice address
1524 Eureka Rd
Roseville, CA 95661-2850
Phone
(916) 318-7821
NPI assigned
Aug 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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 P5187 TX
Ophthalmology Physician 207W00000X C170726 CA Primary

Addresses

Primary practice location

1524 Eureka Rd
Roseville, CA 95661-2850

Mailing address

1524 Eureka Rd
Roseville, CA 95661-2850
Phone (916) 318-7821

Other practice location 1

1825 E Southlake Blvd
Southlake, TX 76092-6501
Phone (817) 784-0222

Other practice location 2

3645 Dallas Pkwy Ste 545
Plano, TX 75093-8167
Phone (817) 784-0222

Other practice location 3

3645 Dallas Pkwy Ste 545
Plano, TX 75093-8167
Phone (817) 784-0222

Other practice location 4

2007 N Jefferson Ave
Mount Pleasant, TX 75455-2336
Phone (817) 784-0222

Other practice location 5

505 N Gun Barrel Ln
Gun Barrel City, TX 75156-3732
Phone (817) 784-0222

Other practice location 6

5494 Glen Lakes Dr
Dallas, TX 75231-4308
Phone (817) 784-0222

Other practice location 7

440 West Highway 635
Plaza 2 Ste 300
Irving, TX 75063-3768
Phone (214) 574-9600

Other practice location 8

350 E Interstate 20
Arlington, TX 76018
Phone (817) 784-0222

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
I20201202002891 CA Practitioner - Ophthalmology 5698912350 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Oklahoma College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meister Eye and Laser Center, a Medical Group, IncGroup PAC ID 9739133190, 4 clinicians

Practice addresses (Care Compare)

1524 Eureka Rd
Roseville, CA 95661-2850
Phone (916) 318-7821

Merit-based Incentive Payment System (MIPS)

Final score
79.24 of 100Reported as group
Quality
60.95
Improvement activities
40
Cost
82.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery854

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C170726CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meister Eye & Laser Center, a Medical Group, Inc. Ophthalmology CurrentSince Nov 5, 2020 Accepting new patients
Auburn Eye Care Associates CurrentSince Dec 1, 2020 Accepting new patients
Escnc LLC Current Accepting new patients
Auburn Eye Care Associates CurrentSince Dec 1, 2020 Accepting new patients
Staten Island Physician Practice PC Ophthalmology Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Locations

3211 Fortune Ct
Auburn, CA 95602
Phone (530) 885-6241

3211 Fortune Ct
Ste A
Auburn, CA 95602
Phone (530) 885-6241

601 Auburn Folsom Rd
Ste A
Auburn, CA 95603
Phone (530) 823-2015

333 S Auburn St
Ste 1
Colfax, CA 95713
Phone (530) 346-2269

50 Iron Point Cir
Ste 130
Folsom, CA 95630
Phone (916) 222-3523

1386 Lead Hill Blvd
Ste 140
Roseville, CA 95661
Phone (916) 318-7821

1524 Eureka Rd
Roseville, CA 95661
Phone (916) 318-7821

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.

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1083806541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 EUREKA RD",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612850",
            "telephone_number": "916-318-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 EUREKA RD",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612850",
            "telephone_number": "916-318-7821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1825 E Southlake Blvd",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760926501",
            "country_code": "US",
            "telephone_number": "817-784-0222",
            "fax_number": "817-467-5819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3645 Dallas Pkwy Ste 545",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750938167",
            "country_code": "US",
            "telephone_number": "817-784-0222",
            "fax_number": "214-440-5201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3645 Dallas Pkwy Ste 545",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750938167",
            "country_code": "US",
            "telephone_number": "817-784-0222",
            "fax_number": "817-417-0981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2007 N Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "TX",
            "postal_code": "754552336",
            "country_code": "US",
            "telephone_number": "817-784-0222",
            "fax_number": "903-572-0213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 N Gun Barrel Ln",
            "address_purpose": "LOCATION",
            "city": "Gun Barrel City",
            "state": "TX",
            "postal_code": "751563732",
            "country_code": "US",
            "telephone_number": "817-784-0222",
            "fax_number": "903-887-4822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5494 Glen Lakes Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752314308",
            "country_code": "US",
            "telephone_number": "817-784-0222",
            "fax_number": "214-696-1579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "440 West Highway 635",
            "address_2": "Plaza 2 Ste 300",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750633768",
            "country_code": "US",
            "telephone_number": "214-574-9600",
            "fax_number": "214-574-9601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 E Interstate 20",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "76018",
            "country_code": "US",
            "telephone_number": "817-784-0222",
            "fax_number": "817-417-0981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINES",
        "first_name": "MUJAHID",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-17",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "P5187",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C170726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.