Individual provider Active NPI

Irene Rusu Jutagir, MD

  • Ophthalmology Physician
  • Brooklyn, NY
National Provider Identifier
1083915060
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
262327 Issued in NY
Practice address
8721 4TH Ave
Brooklyn, NY 11209-5109
Phone
(718) 221-2020
NPI assigned
Nov 8, 2010
Last updated
Oct 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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 262327 NY Primary

Addresses

Primary practice location

8721 4TH Ave
Brooklyn, NY 11209-5109

Mailing address

8721 4TH Ave
Brooklyn, NY 11209-5109
Phone (718) 221-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20141031000376 NY Practitioner - Ophthalmology 2163643388 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Chicago, Pritzker School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmology Associates of Bay Ridge PCGroup PAC ID 1052202496, 3 clinicians

Practice addresses (Care Compare)

8721 4TH Ave
Brooklyn, NY 11209-5109
Phone (718) 680-1500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Quality
98.17
Improvement activities
40
Cost
78.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
262327NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
Weill Medical College of Cornell CurrentSince Jul 1, 2014 Accepting new patients
Weill Medical College of Cornell Ophthalmology CurrentSince Jul 1, 2014 Accepting new patients
Ophthalmology Associates of Bay Ridge, P.C. Ophthalmology CurrentSince Dec 7, 2020 Accepting new patients

Locations

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

2960 Ocean Ave
Ste 4
Brooklyn, NY 11235
Phone (718) 646-2025

8721 4th Ave
Brooklyn, NY 11209
Phone (718) 238-3937

1305 York Ave
Ste 11
New York, NY 10021
Phone (646) 962-2020

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: irusujutagir839773@nychhc.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1083915060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8721 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095109",
            "telephone_number": "718-221-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8721 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095109",
            "telephone_number": "718-221-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSU JUTAGIR",
        "first_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-08",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "262327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.