Individual provider Active NPI

James Charles Bobrow, M.D.

  • Ophthalmology Physician
  • Clayton, MO
National Provider Identifier
1114929254
Registry record updated Dec 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
R5491 Issued in MO
Practice address
121 Hunter Ave
Suite 102
Clayton, MO 63124-2000
Phone
(314) 721-1140
Fax
(314) 721-1863
NPI assigned
Jun 1, 2005
Last updated
Dec 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2019

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 R5491 MO Primary

Addresses

Primary practice location

121 Hunter Ave
Suite 102
Clayton, MO 63124-2000

Mailing address

121 Hunter Ave
Suite 102
Clayton, MO 63124-2000
Phone (314) 721-1140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20090108000548 MO Practitioner - Ophthalmology 2668535212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Johns Hopkins University School of Medicine, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Eye Care IncGroup PAC ID 7618073446, 3 clinicians

Practice addresses (Care Compare)

9890 Clayton Rd
Saint Louis, MO 63124-1685
Phone (314) 395-9613

Merit-based Incentive Payment System (MIPS)

Final score
78.38 of 100Reported as group
Quality
88.28
Improvement activities
40
Cost
43.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Eye Care, Inc. Ophthalmology CurrentSince Nov 1, 2019 Accepting new patients

Locations

9890 Clayton Rd
Ste 200
Saint Louis, MO 63124
Phone (314) 395-9613

121 Hunter Ave
Ste 102
Saint Louis, MO 63124
Phone (314) 721-1140

Interoperability endpoints

  • Direct secure messaging: bobrowj@eyestl.updoxdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1577145600000",
    "number": "1114929254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 HUNTER AVE",
            "address_2": "SUITE 102",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631242000",
            "telephone_number": "314-721-1140",
            "fax_number": "314-721-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 HUNTER AVE",
            "address_2": "SUITE 102",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631242000",
            "telephone_number": "314-721-1140",
            "fax_number": "314-721-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBROW",
        "first_name": "JAMES",
        "middle_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2019-12-24",
        "certification_date": "2019-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "R5491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, MO

Sources for this page

Verify at the official NPI Registry.