Luis Alejandro Acaba-Berrocal
Individual provider Active NPI Ophthalmology Physician · Philadelphia, PA
NPI 1336768852 · NPPES record last updated Jul 9, 2024
Key facts
- NPI
- 1336768852
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- MD484123 (PA)
- Practice address
- 840 Walnut St Ste 1020
Philadelphia, PA 19107-5109 - Phone
- (800) 331-6634
- NPI assigned
- Apr 14, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- Jefferson Medical College of Thomas Jefferson University, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wills Eye Ophthalmology Clinic, Inc
Practice addresses (Care Compare)
840 Walnut St
Philadelphia, PA 19107-5109
Phone (215) 928-3041
Hospital & facility affiliations
- Wills Eye Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.52 of 100
- Quality
- 96.59
- Promoting interoperability
- 98
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.34 of 100
- Quality
- 80.85
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.95
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240517000997 | PA | Practitioner - Ophthalmology | 4385056118 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD484123 | PA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Retinovitreous Associates LTD | Ophthalmology | Current |
Accepting new patients |
| Wills Eye Ophthalmology Clinic, Inc | Ophthalmology | Current |
Accepting new patients |
| Retinovitreous Associates LTD | Ophthalmology | Current |
Accepting new patients |
Locations
840 Walnut St
Ste 1230
Philadelphia, PA 19107
Phone (215) 440-3160
840 Walnut St
Ste 1020
Philadelphia, PA 19107
Phone (215) 928-3095
840 Walnut St
Philadelphia, PA 19107
Phone (215) 440-3150
4060 Butler Pike
Ste 200
Plymouth Meeting, PA 19462
Interoperability endpoints
- lacababerrocal@midatlret.intellechartdirect.net
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- lacababerroca69240@uihealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD484123 | PA | Yes |
Addresses
Primary practice location
840 Walnut St Ste 1020
Philadelphia, PA 19107-5109
Mailing address
840 Walnut St Ste 1020
Philadelphia, PA 19107-5109
Phone (800) 331-6634
Other names
- Luis Acaba
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lacababerrocal@midatlret.intellechartdirect.net | Direct |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.