Individual provider Active NPI

Nilesh M. Sheth, M.D., MPH

  • Ophthalmology Physician
  • Stoneham, MA
National Provider Identifier
1285711705
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
218562 Issued in MA
Practice address
3 Woodland Rd
Suite 120
Stoneham, MA 02180-1702
Phone
(781) 979-0960
Fax
(781) 979-0618
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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 218562 MA Primary

Addresses

Primary practice location

3 Woodland Rd
Suite 120
Stoneham, MA 02180-1702

Mailing address

3 Woodland Rd
Suite 120
Stoneham, MA 02180-1702
Phone (781) 979-0960

Other identifiers 1

IdentifierTypeStateIssuer
4673750MedicaidMI

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
I20070420000209 MA Practitioner - OphthalmologyPractitioner - Optometry 4183520539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Optometry
Education
Wayne State University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clear Vision Eye Center IncGroup PAC ID 9032208178, 3 clinicians

Practice addresses (Care Compare)

3 Woodland Rd
Suite 120
Stoneham, MA 02180-1710
Phone (781) 979-0960

Merit-based Incentive Payment System (MIPS)

Final score
92.81 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
73.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery134

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218562MAMDOphthalmology Physician
4301029452MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Vision Eye Center,Inc Ophthalmology Current Accepting new patients
Clear Vision Eye Center,Inc Ophthalmology CurrentSince Aug 1, 2007 Accepting new patients
North Suburban Eye Associates PC Ophthalmology Past Accepting new patients

Locations

3 Woodland Rd
Ste 120
Stoneham, MA 02180
Phone (781) 979-0960

300 Tradecenter
Ste 7690
Woburn, MA 01801
Phone (781) 979-0960

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1285711705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WOODLAND RD",
            "address_2": "SUITE 120",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021801702",
            "telephone_number": "781-979-0960",
            "fax_number": "781-979-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WOODLAND RD",
            "address_2": "SUITE 120",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021801702",
            "telephone_number": "781-979-0960",
            "fax_number": "781-979-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETH",
        "first_name": "NILESH",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D., MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "218562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4673750",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoneham, MA

Sources for this page

Verify at the official NPI Registry.