Individual provider Active NPI

Nilufar Maboudi, M.D.

  • Ophthalmology Physician
  • Sacramento, CA
National Provider Identifier
1194851311
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A068743 Issued in CA
Practice address
651 Fulton Ave
Sacramento, CA 95825-4813
Phone
(916) 483-2525
NPI assigned
Feb 23, 2007
Last updated
Jan 30, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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 A068743 CA Primary

Addresses

Primary practice location

651 Fulton Ave
Sacramento, CA 95825-4813

Mailing address

651 Fulton Ave
Sacramento, CA 95825-4813
Phone (916) 483-2525

Other identifiers 1

IdentifierTypeStateIssuer
M180039877OtherRAIL ROAD MEDICARE

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
I20101014000353 CA Practitioner - Ophthalmology 4688866221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Griffin and Reed a Medical CorporationGroup PAC ID 7911947445, 6 clinicians

Practice addresses (Care Compare)

651 Fulton Ave
Sacramento, CA 95825-4813
Phone (916) 483-2525

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.69 of 100Reported as group
Quality
60.05
Promoting interoperability
100
Improvement activities
40
Cost
72.24

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery106

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A068743CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter North Medical Foundation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nmaboudi36950@hisp.ehr.sutterhealth.org

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.

Hospital & facility affiliations 2

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1194851311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 FULTON AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254813",
            "telephone_number": "916-483-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 FULTON AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254813",
            "telephone_number": "916-483-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABOUDI",
        "first_name": "NILUFAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A068743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "M180039877",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.