Individual provider Active NPI

Richard S Kaiser, MD

  • Ophthalmology Physician
  • Plymouth Meeting, PA
National Provider Identifier
1124076930
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD 065822L Issued in PA
Practice address
4060 Butler Pike
Suite 200
Plymouth Meeting, PA 19462-1560
Phone
(800) 331-6634
Fax
(267) 420-1360
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA07819200 NJ
Retina Specialist (Ophthalmology) Physician 207WX0107X MD065822L PA
Retina Specialist (Ophthalmology) Physician 207WX0107X 25MA07819200 NJ
Ophthalmology Physician 207W00000X MD 065822L PA Primary

Addresses

Primary practice location

4060 Butler Pike
Suite 200
Plymouth Meeting, PA 19462-1560

Mailing address

4060 Butler Pike
Suite 200
Plymouth Meeting, PA 19462-1560
Phone (800) 331-6634

Other identifiers 2

IdentifierTypeStateIssuer
0018502700013MedicaidPA
0011169MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rkaiser@midatlret.intellechartdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040818001361 PA Practitioner - Ophthalmology 7315910189 Reassigns benefits to 2 organizations
I20050105000882 NJ Practitioner - Ophthalmology 7315910189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retinovitreous Associates LTDGroup PAC ID 2961485412, 35 clinicians
Associated Retinal Surgeons, PAGroup PAC ID 9133170384, 22 clinicians

Practice addresses (Care Compare)

5325 Northgate Dr
Suite 103
Bethlehem, PA 18017-9412
Phone (800) 331-6634

8 Ranoldo Ter
Cherry Hill, NJ 08034-2112
Phone (800) 331-6634

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.52 of 100Reported as group
Quality
96.59
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
98.82 of 100Reported as group
Quality
97.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07819200NJMDOphthalmology Physician
MD 065822LPAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wills Eye Ophthalmology Clinic, Inc Ophthalmology CurrentSince Jul 1, 2002 Accepting new patients
Associated Retinal Consultants, PC Ophthalmology Past Accepting new patients

Locations

840 Walnut St
Ste 1230
Philadelphia, PA 19107
Phone (215) 440-3160

840 Walnut St
Ste 1020
Philadelphia, PA 19107
Phone (215) 928-3095

840 Walnut St
Philadelphia, PA 19107
Phone (215) 440-3150

840 Walnut St
#1020
Philadelphia, PA 19107
Phone (215) 928-3095

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 1

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1124076930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 BUTLER PIKE",
            "address_2": "SUITE 200",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621560",
            "telephone_number": "800-331-6634",
            "fax_number": "267-420-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 BUTLER PIKE",
            "address_2": "SUITE 200",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621560",
            "telephone_number": "800-331-6634",
            "fax_number": "267-420-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAISER",
        "first_name": "RICHARD",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA07819200",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "PA",
            "license": "MD065822L",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NJ",
            "license": "25MA07819200",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD 065822L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018502700013",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011169",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rkaiser@midatlret.intellechartdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4060 Butler Pike",
            "address_2": "Suite 200",
            "city": "Plymouth Meeting",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194621560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

Verify at the official NPI Registry.