Individual provider Active NPI

Reza Razeghinejad, M.D.

  • Ophthalmology Physician
  • Philadelphia, PA
National Provider Identifier
1154705796
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD462972 Issued in PA
Practice address
840 Walnut St Ste 1110
Philadelphia, PA 19107-5109
Phone
(215) 928-3197
Fax
(215) 928-0166
NPI assigned
Jul 14, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X MD462972 PA
Ophthalmology Physician 207W00000X MD462972 PA Primary

Addresses

Primary practice location

840 Walnut St Ste 1110
Philadelphia, PA 19107-5109

Mailing address

840 Walnut St Ste 1110
Philadelphia, PA 19107-5109
Phone (215) 928-3197

Other names 1

  • Mohammadreza Razeghinejad Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 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
I20170913001134 PA Practitioner - Ophthalmology 2860709284 Reassigns benefits to 3 organizations
I20251224000167 DE Practitioner - Ophthalmology 2860709284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Advanced Eye CareGroup PAC ID 6103257738, 12 clinicians
Wills Eye Ophthalmology Clinic, IncGroup PAC ID 9133025166, 146 clinicians

Practice addresses (Care Compare)

360 Middletown Blvd
Suite 402
Langhorne, PA 19047-1863
Phone 30223919336283

5301 Limestone Rd
Wilmington, DE 19808-1251
Phone (302) 239-1933

840 Walnut St
Philadelphia, PA 19107-5109
Phone (215) 928-3041

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD462972PAMDGlaucoma Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wills Eye Ophthalmology Clinic, Inc Ophthalmology CurrentSince Aug 1, 2017 Accepting new patients
Center for Advanced Eye Care Ophthalmology CurrentSince Jan 1, 2026 Accepting new patients
Tri-Century Eye Care, PC Ophthalmology CurrentSince Oct 1, 2022 Accepting new patients
Tri-Century Eye Care, PC Ophthalmology CurrentSince Oct 1, 2022 Accepting new patients

Locations

5301 Limestone Rd
Ste 122
Wilmington, DE 19808
Phone (302) 485-0699

216 Mill St
Bristol, PA 19007
Phone (215) 781-2020

360 Middletown Blvd
Ste 402
Langhorne, PA 19047
Phone (215) 757-5200

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

840 Walnut St
Fl 11
Philadelphia, PA 19107
Phone (215) 928-3190

840 Walnut St
Ste 1110
Philadelphia, PA 19107
Phone (215) 440-3160

319 2nd Street Pike
Southampton, PA 18966
Phone (215) 355-4428

Interoperability endpoints

  • Direct secure messaging: mohammadreza.razeghinejad.p1@direct.willseye.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: rrazeghinejad@tcec.intellechartdirect.net

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": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1154705796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 WALNUT ST STE 1110",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075109",
            "telephone_number": "215-928-3197",
            "fax_number": "215-928-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 WALNUT ST STE 1110",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075109",
            "telephone_number": "215-928-3197",
            "fax_number": "215-928-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZEGHINEJAD",
        "first_name": "REZA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-14",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "PA",
            "license": "MD462972",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD462972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOHAMMADREZA",
            "last_name": "RAZEGHINEJAD",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.