Individual provider Active NPI

Eran Duzman, M.D.

  • Ophthalmology Physician
  • Irvine, CA
National Provider Identifier
1174548903
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G84694 Issued in CA
Practice address
4605 Barranca Parkway
Suite# 100
Irvine, CA 92604
Phone
(949) 733-2002
Fax
(949) 733-1854
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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 G84694 CA Primary

Addresses

Primary practice location

4605 Barranca Parkway
Suite# 100
Irvine, CA 92604

Mailing address

4605 Barranca Parkway
Suite# 100
Irvine, CA 92604
Phone (949) 733-2002

Other identifiers 3

IdentifierTypeStateIssuer
00A389720OtherCABLUE SHEILD ID
00G846940MedicaidCA
G84694OtherCASTATE LIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20110504000269 CA Practitioner - Ophthalmology 3779768981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York Medical College, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Efraim Duzman MD IncGroup PAC ID 0941497069, 2 clinicians

Practice addresses (Care Compare)

4605 Barranca Pkwy
Irvine, CA 92604-1726
Phone (949) 733-2002

Merit-based Incentive Payment System (MIPS)

Final score
85.24 of 100Reported as individual
Quality
70.48
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G84694CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Efraim Duzman M.D., Inc Ophthalmology CurrentSince Dec 9, 2010 Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients

Locations

4605 Barranca Pkwy
Ste 100
Irvine, CA 92604
Phone (949) 733-2002

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: eran.duzman.p95@direct.nautilus.nextgenshare.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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1174548903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 BARRANCA PARKWAY",
            "address_2": "SUITE# 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92604",
            "telephone_number": "949-733-2002",
            "fax_number": "949-733-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 BARRANCA PARKWAY",
            "address_2": "SUITE# 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92604",
            "telephone_number": "949-733-2002",
            "fax_number": "949-733-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUZMAN",
        "first_name": "ERAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G84694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHEILD ID",
            "identifier": "00A389720",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G846940",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC",
            "identifier": "G84694",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.