Jason Szelog, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD26571 Issued in ME

Practice address

155 Borthwick Ave Ste 200E
Portsmouth, NH 03801-4184

Phone

(603) 436-1773

Fax

(603) 427-0655

NPI assigned

Jun 18, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 9

Addresses

Medicare fee-for-service enrollment

Enrolled in ME, NH2 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

Specialty

Ophthalmology

Education

Tufts University School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyesight Ophthalmic Services PLLCGroup PAC ID 3971588609, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• York Hospital Hospital, York, ME, CCN 200020

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jasonszelog@eyesightnh.emadirect.md

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.

• Eyesight Ophthalmic Services PLLC

  • Ophthalmology Physician
  • Portsmouth, NH
  • NPI 1073736310

  ME, Specialist

  Medicare reassignment Care Compare group NPD
• Androscoggin Valley Hospital Inc

  • General Practice Physician
  • Berlin, NH
  • NPI 1679526644

  Internal Medicine

  Medicare reassignment NPD
• Androscoggin Valley Hospital, Inc.

  • Critical Access Hospital
  • Berlin, NH
  • NPI 1386680593

  Internal Medicine

  Medicare reassignment NPD
• Androscoggin Valley Hospital, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Berlin, NH
  • NPI 1134266679
  NPD
• Kittery Ophthalmic Consultants

  • Ophthalmology Physician
  • Kittery, ME
  • NPI 1578765640
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• York Hospital

  • General Acute Care Hospital
  • York, ME
  • NPI 1376528398
  Care Compare affiliation

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1366936882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 BORTHWICK AVE STE 200E",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014184",
            "telephone_number": "603-436-1773",
            "fax_number": "603-427-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 BORTHWICK AVE STE 200E",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014184",
            "telephone_number": "603-436-1773",
            "fax_number": "603-427-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZELOG",
        "first_name": "JASON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-18",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "275986",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NH",
            "license": "23619",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MA",
            "license": "291178",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NH",
            "license": "23619",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "ME",
            "license": "MD26571",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ME",
            "license": "MD26571",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NH",
            "license": "23619",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ME",
            "license": "MD26571",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "275986",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Swasey
• Molly Sweeney
• Gary James Sweet, IDC
• Heather Sweet, BA
• Sofia Sylvestri
• Elisabeth Szilagyi, LCMHC
• Lucian Szmyd Jr., M.D.
• Erli Jessica Tang
• Ryan Michael Tannian, PHARMD
• Courtney Tarantino

• Ophthalmology Physician in Portsmouth, NH
• Providers in Portsmouth, NH by specialty
• Ophthalmology Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.