Active NPI
James W Klein, MD
- Ophthalmology Physician
- St Clair Shores, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4301039578
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180041197 | Other | MI | MEDICARE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 86 of 100
- Quality
- 96.22
- Improvement activities
- 40
- Cost
- 58.37
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard C Mertz Jr MD PC | Ophthalmology | Current | 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 | Past | Accepting new patients |
Locations
21711 Greater Mack Ave
St Clr Shores, MI 48080
Phone (586) 774-0393
Interoperability endpoints
- jklein1134846@direct.hfhs.org
- 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.
-
- Ophthalmology Physician
- St Clair Shores, MI
- NPI 1467408914
MI, Ophthalmology
-
- Ambulatory Surgical Clinic/Center
- Saint Clair Shores, MI
- NPI 1043395502
-
- Ambulatory Surgical Clinic/Center
- Saint Clair Shores, MI
- NPI 1326215468
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.