Individual provider Active NPI

Katarzyna Brodowska, MD

  • Ophthalmology Physician
  • Cleveland, OH
National Provider Identifier
1245642867
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036158076 Issued in IL
Practice address
10900 Euclid Ave
Cleveland, OH 44106-1712
Phone
(216) 368-2000
NPI assigned
Jun 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X 036158076 IL Primary

Addresses

Primary practice location

10900 Euclid Ave
Cleveland, OH 44106-1712

Mailing address

8780 W Golf Rd Ste 304
Niles, IL 60714-5611
Phone (847) 297-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, IL2 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
I20200629002278 AR Practitioner - Ophthalmology 2860783628 Reassigns benefits to 1 organization
I20211018000314 IL Practitioner - Ophthalmology 2860783628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Institute of Illinois PCGroup PAC ID 1153320973, 9 clinicians

Practice addresses (Care Compare)

8780 W Golf Rd
Suite 304
Niles, IL 60714-5611
Phone (847) 297-8900

Merit-based Incentive Payment System (MIPS)

Final score
99.44 of 100Reported as group
Quality
97.34
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Institute of Illinois PC Ophthalmology CurrentSince Aug 1, 2021 Accepting new patients
Retina Associates, P.a. CurrentSince Jul 1, 2020 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2018 Accepting new patients
University of Pittsburgh Physicians Ophthalmology CurrentSince Jul 1, 2018 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients

Locations

9800 Baptist Health Dr
Ste 200
Little Rock, AR 72205
Phone (501) 219-0900

2326 W Foster Ave
Ste 100
Chicago, IL 60625
Phone (773) 784-9400

820 E Terra Cotta Ave
Crystal Lake, IL 60014
Phone (815) 444-1330

820 E Terra Cotta Ave
Ste 247
Crystal Lake, IL 60014
Phone (815) 788-1000

36100 N Brookside Dr
Ste 206
Gurnee, IL 60031
Phone (847) 855-2500

1585 N Barrington Rd
Ste 404
Hoffman Estates, IL 60169
Phone (847) 755-9393

12030 Princeton Dr
Huntley, IL 60142
Phone (815) 788-1000

8780 W Golf Rd
Ste 304
Niles, IL 60714
Phone (847) 297-8900

203 Lothrop St
Fl 7
Pittsburgh, PA 15213
Phone (412) 647-2200

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/doctorsoft_retinaassociates

Organizations & group practices 5

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": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1245642867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8780 W GOLF RD STE 304",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607145611",
            "telephone_number": "847-297-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061712",
            "telephone_number": "216-368-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODOWSKA",
        "first_name": "KATARZYNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036158076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.