Jay I Novetsky, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

042263 Issued in MI

Practice address

44650 Delco Blvd
Sterling Heights, MI 48313-1024

Phone

(586) 254-1770

Fax

(586) 254-3515

NPI assigned

Nov 16, 2005

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 2

Medicare fee-for-service enrollment

Enrolled in MI

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

Merit-based Incentive Payment System (MIPS)

Final score

93.5 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

78.34

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Vision Institute of Michigan PC

  • Ophthalmology Physician
  • Sterling HTS, MI
  • NPI 1396818373
  Medicare reassignment NPD

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1093797003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44650 DELCO BLVD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131024",
            "telephone_number": "586-254-1770",
            "fax_number": "586-254-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44650 DELCO BLVD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131024",
            "telephone_number": "586-254-1770",
            "fax_number": "586-254-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVETSKY",
        "first_name": "JAY",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "042263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3013728",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0500418",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Frances Norton-Krawciw, RPH, IBCLC, RLC
• Mohannad Nour Eddin
• Labeed Sami Nouri, M.D.
• Katherine Louise Novak, PA-C
• Roman Novatchinski
• Christina Odarka Nowicki, LPC
• Nuch of Michigan Inc
• Antonio H Nucum Jr., D.O.
• Tufail Numan
• Numans Capital LLC

• Ophthalmology Physician in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.