Kimberly Couture Ireland, M.D.
Individual provider Active NPI Ophthalmology Physician · Summit, WI
NPI 1366435851 · NPPES record last updated Mar 26, 2013
Key facts
- NPI
- 1366435851
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 42556 (WI)
- Practice address
- 36500 Aurora Dr
Summit, WI 53066-4899 - Phone
- (262) 434-5000
- Fax
- (262) 434-5000
- NPI assigned
- Aug 30, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- Albany Medical College of Union University, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Lukes at the Villages PA
Practice addresses (Care Compare)
1050 Old Camp Rd
Suite 230
The Villages, FL 32162-1762
Phone (352) 350-8484
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1966 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20121204000037 | FL | Practitioner - Ophthalmology | 5395883300 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42556 | WI | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St . Lukes at the Villages, PA | Ophthalmology | Current |
Accepting new patients |
| Coren Eye Group PLLC | Past | Accepting new patients | |
| St. Lukes Surgical at the Villages, Inc | Past | Accepting new patients |
Locations
43309 US Highway 19 N
Tarpon Springs, FL 34689
Phone (727) 938-2020
2955 Brownwood Blvd
Ste 303
The Villages, FL 32163
Phone (352) 350-8484
1050 Old Camp Rd
Ste 230
The Villages, FL 32162
Phone (352) 350-8484
1050 Old Camp Rd
The Villages, FL 32162
Phone (352) 606-4708
Interoperability endpoints
- kireland563593@direct.shands.ufl.edu
- kimberly.irelandmd.p3@direct.stlukeseye.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 42556 | WI | Yes |
Addresses
Primary practice location
36500 Aurora Dr
Summit, WI 53066-4899
Mailing address
1050 Old Camp Rd
Building # 230
The Villages, FL 32162-1762
Phone (352) 350-8484
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7075205 | Other | WI | AETNA |
| 34017100 | Medicaid | WI | |
| 8808855 | Other | WI | CIGNA |
Other providers in Summit, WI
- Beth A Hultman
- Steven J Hunter
- Abbey Hurtis
- Rachel Hyland
- Ahmed Mohsin Ibn-Mahfoudh
- Ahmed Ismail
- Zachary A Jaffa
- Jennifer Lynn Johnson
- Jessy Charles-James Johnson
- Tiffany J Johnson
All providers in Summit, WI · Ophthalmology Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2013. 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.