Individual provider Active NPI

Janice D Moyer, M.D

  • Ophthalmology Physician
  • San Leandro, CA
National Provider Identifier
1265510408
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A101000 Issued in CA
Practice address
15051 Hesperian Blvd
Suite a
San Leandro, CA 94578-3536
Phone
(510) 276-1212
Fax
(510) 276-1313
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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 A101000 CA Primary

Addresses

Primary practice location

15051 Hesperian Blvd
Suite a
San Leandro, CA 94578-3536

Mailing address

8541 S State St
Chicago, IL 60619-5665
Phone (773) 994-9440

Other identifiers 3

IdentifierTypeStateIssuer
036109457OtherILIL.LICENSE NUMBER
428000OtherILMEDICARE GROUP NUMBER
336070411OtherILCONTROLLED SUBSTANCE

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
I20081111000138 CA Practitioner - Ophthalmology 6507816774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loyola University of Chicago, Stritch School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
V. Nicholas Batra M.D. Inc.Group PAC ID 3173419074, 5 clinicians

Practice addresses (Care Compare)

15051 Hesperian Blvd
A
San Leandro, CA 94578-3536
Phone (510) 357-3636

Merit-based Incentive Payment System (MIPS)

Final score
95.2 of 100Reported as group
Quality
93.58
Promoting interoperability
93
Improvement activities
40
Cost
79.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
V. Nicholas Batra M.D. Inc. Ophthalmology CurrentSince Feb 12, 2011 Accepting new patients
Alicia Stovell, M.D. PC Past Accepting new patients

Locations

2999 Regent St
Ste 700
Berkeley, CA 94705
Phone (510) 486-0818

3000 Colby St
Ste 101
Berkeley, CA 94705
Phone (510) 644-2282

15051 Hesperian Blvd
Ste A
San Leandro, CA 94578
Phone (510) 276-1212

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1265510408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8541 S STATE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606195665",
            "telephone_number": "773-994-9440",
            "fax_number": "773-994-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15051 HESPERIAN BLVD",
            "address_2": "SUITE A",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945783536",
            "telephone_number": "510-276-1212",
            "fax_number": "510-276-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYER",
        "first_name": "JANICE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A101000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL.LICENSE NUMBER",
            "identifier": "036109457",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "428000",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE",
            "identifier": "336070411",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.