Individual provider Active NPI

Amy Ajans Zguta, MD

  • Ophthalmology Physician
  • Columbia, MO
National Provider Identifier
1376700823
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
20110020282 Issued in MO
Practice address
500 N Keene St
Ste 101
Columbia, MO 65201-8104
Phone
(573) 449-3846
Fax
(573) 449-3706
NPI assigned
May 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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 20110020282 MO Primary

Addresses

Primary practice location

500 N Keene St
Ste 101
Columbia, MO 65201-8104

Mailing address

500 N Keene St
Ste 101
Columbia, MO 65201-8104
Phone (573) 449-3846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20111007000442 MO Practitioner - Ophthalmology 3678640778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Missouri, Columbia School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 N Keene St
Suite 101
Columbia, MO 65201-8104
Phone (573) 449-3846

Merit-based Incentive Payment System (MIPS)

Final score
97.49 of 100Reported as group
Quality
94.97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery88
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20110020282MOMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roger D. Bonham M.D., P.C. Ophthalmology Current Accepting new patients
Amy a Zguta MD LLC Ophthalmology CurrentSince Sep 29, 2011 Accepting new patients

Locations

500 N Keene St
Ste 101
Columbia, MO 65201
Phone (573) 449-3846

Organizations & group practices 2

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": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1376700823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N KEENE ST",
            "address_2": "STE 101",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018104",
            "telephone_number": "573-449-3846",
            "fax_number": "573-449-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N KEENE ST",
            "address_2": "STE 101",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018104",
            "telephone_number": "573-449-3846",
            "fax_number": "573-449-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZGUTA",
        "first_name": "AMY",
        "middle_name": "AJANS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "20110020282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.