Active NPI
Joseph Michael Mackey, M.D.
- Ophthalmology Physician
- Bloomington, IN
National Provider Identifier
1114124575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 01069717A
- Practice address
- 1011 West Second Street
Bloomington, IN 47403-2216 - Phone
- (812) 334-1213
- Fax
- (812) 333-5039
- NPI assigned
- Jun 29, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 01069717A | IN | Primary |
| Internal Medicine Physician | 207R00000X | TRN11512 | FL |
Addresses
Primary practice location
1011 West Second Street
Bloomington, IN 47403-2216
Mailing address
1011 West Second Street
Bloomington, IN 47403-2216
Phone (812) 334-1213
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201025280 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Indiana University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1011 W 2ND St
Bloomington, IN 47403-2216
Phone (812) 334-1213
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.74 of 100
- Quality
- 83.76
- Improvement activities
- 40
- Cost
- 77.44
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1095 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN11512 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integ Health System, P.C. | Ophthalmology | Current | Accepting new patients |
| Integ Health System, P.C. | Current | Accepting new patients |
Locations
1011 W 2nd St
Bloomington, IN 47403
Phone (812) 334-1213
Interoperability endpoints
- https://app.meldrx.com/api/fhir/medflow_integ_health_systems
Organizations & group practices 2
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
- Bloomington, IN
- NPI 1215919105
-
- Ambulatory Surgical Clinic/Center
- Bloomington, IN
- NPI 1013999580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332288000000",
"number": "1114124575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 WEST SECOND STREET",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474032216",
"telephone_number": "812-334-1213",
"fax_number": "812-333-5039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 WEST SECOND STREET",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474032216",
"telephone_number": "812-334-1213",
"fax_number": "812-333-5039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKEY",
"first_name": "JOSEPH",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-29",
"last_updated": "2012-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IN",
"license": "01069717A",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "TRN11512",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201025280",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.