Individual provider Active NPI

Joseph Michael Mackey, M.D.

  • Ophthalmology Physician
  • Bloomington, IN
National Provider Identifier
1114124575
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01069717A Issued in IN
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

Updated by the provider on Mar 21, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
201025280MedicaidIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110714000686 IN Practitioner - Ophthalmology 6305014572 Reassigns benefits to 1 organization

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
Integ Health System PCGroup PAC ID 8921035676, 8 clinicians

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 100Reported as group
Quality
83.76
Improvement activities
40
Cost
77.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1095

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN11512FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integ Health System, P.C. Ophthalmology CurrentSince Jul 18, 2011 Accepting new patients
Integ Health System, P.C. CurrentSince Jul 18, 2011 Accepting new patients

Locations

1011 W 2nd St
Bloomington, IN 47403
Phone (812) 334-1213

Interoperability endpoints

  • FHIR API: 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.

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

Verify at the official NPI Registry.