Individual provider Active NPI

Ian K Piovanetti, MD

  • Ophthalmology Physician
  • San Juan, PR
National Provider Identifier
1205897154
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
12814 Issued in PR
Practice address
Ave Jesus T Pinero 1250 Caparra Terrace
Centro Oftalmologico Metropolitano CSP
San Juan, PR 00921
Phone
(787) 781-2565
Fax
(787) 782-9524
NPI assigned
Mar 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 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 12814 PR Primary

Addresses

Primary practice location

Ave Jesus T Pinero 1250 Caparra Terrace
Centro Oftalmologico Metropolitano CSP
San Juan, PR 00921

Mailing address

PO Box 10431
San Juan, PR 00922-0431
Phone (787) 781-2565

Other names 1

  • Ian K Piovanetti Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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
I20101028001081 PR Practitioner - Ophthalmology 2062566557 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University Central del Caribe Escuela de Medicina, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centro Oftalmologico Metropolitano CSPGroup PAC ID 4587655204, 20 clinicians

Practice addresses (Care Compare)

1114 Ave Jesus T Pinero
San Juan, PR 00921-1722
Phone (787) 781-3020

1250 Ave Jesus T Pinero
San Juan, PR 00921-1616
Phone (787) 781-3020

Merit-based Incentive Payment System (MIPS)

Final score
61.01 of 100Reported as group
Quality
75.55
Promoting interoperability
0
Improvement activities
40
Cost
77.82

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery258

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12814PRMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Ophthalmology CurrentSince Aug 17, 2014 Accepting new patients
Centro Oftalmologico Metropolitano CSP Ophthalmology CurrentSince Oct 1, 1984 Accepting new patients
Centro Oftalmologico Metropolitano CSP Ophthalmology Current Accepting new patients
Recinto de Ciencias Medicas CurrentSince Aug 17, 2014 Accepting new patients

Locations

1250 Ave Jesus T Pinero
San Juan, PR 00921
Phone (787) 781-2565

BO Monacillos Centro Med
San Juan, PR 00935
Phone (787) 763-2440

1114 Ave Jesus T Pinero
San Juan, PR 00921
Phone (787) 781-3020

Interoperability endpoints

  • Direct secure messaging: ipiovanetti@centofmet.direct.eyemdemr.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1205897154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10431",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009220431",
            "telephone_number": "787-781-2565",
            "fax_number": "787-782-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE JESUS T PINERO 1250 CAPARRA TERRACE",
            "address_2": "CENTRO OFTALMOLOGICO METROPOLITANO CSP",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-781-2565",
            "fax_number": "787-782-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIOVANETTI",
        "first_name": "IAN",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "12814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IAN",
            "last_name": "PIOVANETTI",
            "middle_name": "K",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.