Individual provider Active NPI

Seema Jayram Ice, M.D.

  • Ophthalmology Physician
  • Painesville, OH
National Provider Identifier
1184833873
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
093339 Issued in OH
Practice address
2141 Mentor Ave
Painesville, OH 44077-1323
Phone
(440) 354-6900
NPI assigned
May 21, 2007
Last updated
Sep 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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 093339 OH Primary

Addresses

Primary practice location

2141 Mentor Ave
Painesville, OH 44077-1323

Mailing address

2141 Mentor Ave
Painesville, OH 44077
Phone (440) 354-6900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sjice@cksmd.direct.eyemdemr.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20091001000740 OH Practitioner - Ophthalmology 4183760341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northeastern Ohio University College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2141 Mentor Ave
Painesville, OH 44077-1323
Phone (440) 354-6900

Merit-based Incentive Payment System (MIPS)

Final score
89.11 of 100Reported as individual
Quality
90.61
Improvement activities
40
Cost
76.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
093339OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ice Ophthalmology LLC Ophthalmology CurrentSince Dec 31, 2017 Accepting new patients
G & G International LLC Current Accepting new patients
CDS Optical Company PastSince Jan 1, 2019 Accepting new patients

Locations

2141 Mentor Ave
Painesville, OH 44077
Phone (440) 354-3455

Interoperability endpoints

  • Direct secure messaging: sice219010@ehrdirect.uhhospitals.org

Organizations & group practices 3

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1184833873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 MENTOR AVE",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "44077",
            "telephone_number": "440-354-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 MENTOR AVE",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440771323",
            "telephone_number": "440-354-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ICE",
        "first_name": "SEEMA",
        "middle_name": "JAYRAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "093339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sjice@cksmd.direct.eyemdemr.com",
            "affiliation": "N",
            "address_1": "2141 MENTOR AVE",
            "city": "PAINESVILLE",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440771323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Painesville, OH

Sources for this page

Verify at the official NPI Registry.