Individual provider Active NPI

Kevin William Hulseberg, M.D.

  • Ophthalmology Physician
  • Holyoke, MA
National Provider Identifier
1255334116
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
150499 Issued in MA
Practice address
2 Hospital Dr
Ste 201
Holyoke, MA 01040-6614
Phone
(413) 536-8670
Fax
(413) 534-0597
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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 150499 MA Primary

Addresses

Primary practice location

2 Hospital Dr
Ste 201
Holyoke, MA 01040-6614

Mailing address

2 Hospital Dr
Ste 201
Holyoke, MA 01040-6614
Phone (413) 536-8670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20080806000043 MA Practitioner - Ophthalmology 3173565397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Albany Medical College of Union University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

230 Maple St
Lowr Level
Holyoke, MA 01040-5144
Phone (413) 536-8670

Hospital & facility affiliations

  • Holyoke Medical Center Hospital, Holyoke, MA, CCN 220024

Merit-based Incentive Payment System (MIPS)

Final score
88.09 of 100Reported as individual
Quality
79.75
Improvement activities
40
Cost
72.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery197
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
150499MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Valley Eye Associates, PC Ophthalmology CurrentSince Jul 8, 1996 Accepting new patients

Locations

230 Maple St
Lowr
Holyoke, MA 01040

2 Hospital Dr
Ste 201
Holyoke, MA 01040
Phone (413) 536-8670

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301529600000",
    "number": "1255334116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HOSPITAL DR",
            "address_2": "STE 201",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010406614",
            "telephone_number": "413-536-8670",
            "fax_number": "413-534-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HOSPITAL DR",
            "address_2": "STE 201",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010406614",
            "telephone_number": "413-536-8670",
            "fax_number": "413-534-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULSEBERG",
        "first_name": "KEVIN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2011-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "150499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.