Individual provider Active NPI

Irving M Raber, M.D.

  • Ophthalmology Physician
  • Bala Cynwyd, PA
National Provider Identifier
1285607028
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD021728E Issued in PA
Practice address
100 Presidential Blvd Ste 200
Bala Cynwyd, PA 19004-1108
Phone
(484) 434-2700
Fax
(610) 660-0419
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MA04916100 NJ
Ophthalmology Physician 207W00000X MD021728E PA Primary

Addresses

Primary practice location

100 Presidential Blvd Ste 200
Bala Cynwyd, PA 19004-1108

Mailing address

100 Presidential Blvd Ste 200
Bala Cynwyd, PA 19004-1108
Phone (484) 434-2700

Other identifiers 2

IdentifierTypeStateIssuer
000650678-0004MedicaidPA
2372703MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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
I20060309000474 PA Practitioner - Ophthalmology 5597710624 Reassigns benefits to 2 organizations
I20100820000041 NJ Practitioner - Ophthalmology 5597710624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.11 of 100Reported as group
Quality
78.1
Promoting interoperability
89
Improvement activities
40
Cost
71.45

Merit-based Incentive Payment System (MIPS)

Final score
87.34 of 100Reported as group
Quality
80.85
Promoting interoperability
100
Improvement activities
40
Cost
76.95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA04916100NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Partners PC Ophthalmology CurrentSince Aug 3, 2020 Accepting new patients
Wills Eye Ophthalmology Clinic, Inc Ophthalmology CurrentSince Jul 1, 2002 Accepting new patients
Ophthalmic Partners of Delaware, PA Ophthalmology Past Accepting new patients

Locations

775 Route 70 E
Ste F180
Marlton, NJ 08053
Phone (856) 596-1601

1500 Tilton Rd
Northfield, NJ 08225
Phone (484) 434-2700

100 Presidential Blvd
Ste 200
Bala Cynwyd, PA 19004
Phone (484) 434-2700

840 Walnut St
Philadelphia, PA 19107
Phone (215) 440-3150

840 Walnut St
Ste 1230
Philadelphia, PA 19107
Phone (215) 440-3160

840 Walnut St
Ste 920
Philadelphia, PA 19107
Phone (215) 928-3180

840 Walnut St
Ste 1210
Philadelphia, PA 19107
Phone (215) 928-3240

8025 Roosevelt Blvd
Philadelphia, PA 19152
Phone (215) 423-5154

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1285607028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PRESIDENTIAL BLVD STE 200",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041108",
            "telephone_number": "484-434-2700",
            "fax_number": "610-660-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PRESIDENTIAL BLVD STE 200",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041108",
            "telephone_number": "484-434-2700",
            "fax_number": "610-660-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABER",
        "first_name": "IRVING",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MA04916100",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD021728E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000650678-0004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2372703",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

Verify at the official NPI Registry.