Individual provider Active NPI

James W Klein, MD

  • Ophthalmology Physician
  • St Clair Shores, MI
National Provider Identifier
1104828482
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301039578 Issued in MI
Practice address
21711 Greater Mack Ave
St Clair Shores, MI 48080-2418
Phone
(586) 774-0393
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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 4301039578 MI Primary

Addresses

Primary practice location

21711 Greater Mack Ave
St Clair Shores, MI 48080-2418

Mailing address

21711 Greater Mack Ave
St Clair Shores, MI 48080-2418
Phone (586) 774-0393

Other identifiers 1

IdentifierTypeStateIssuer
180041197OtherMIMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100916000620 MI Practitioner - Ophthalmology 0446253249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Illinois Medical College, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard C Mertz Jr MD PC 5 clinicians

Practice addresses (Care Compare)

21711 Greater Mack Ave
Saint Clair Shores, MI 48080-2418
Phone (810) 774-0393

Hospital & facility affiliations

  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089

Merit-based Incentive Payment System (MIPS)

Final score
86 of 100Reported as group
Quality
96.22
Improvement activities
40
Cost
58.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Richard C Mertz Jr MD PC Ophthalmology CurrentSince Oct 1, 2000 Accepting new patients
Richard C Mertz Jr MD PC Current Accepting new patients
St Clair Shores Mi Ophthalmology ASC LLC Current Accepting new patients
Shorepointe Optical Inc Ophthalmology PastSince Jul 30, 2001 Accepting new patients

Locations

21711 Greater Mack Ave
St Clr Shores, MI 48080
Phone (586) 774-0393

Interoperability endpoints

  • Direct secure messaging: jklein1134846@direct.hfhs.org
  • Direct secure messaging: jamesklein@metropolitaneyecenter.direct.eyemdemr.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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1104828482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21711 GREATER MACK AVE",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802418",
            "telephone_number": "586-774-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21711 GREATER MACK AVE",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802418",
            "telephone_number": "586-774-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "JAMES",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301039578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "180041197",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.