Individual provider Active NPI

Marina Gilca, MD

  • Retina Specialist (Ophthalmology) Physician
  • Fargo, ND
National Provider Identifier
1386028314
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
14391 Issued in ND
Practice address
4450 31St Ave S Ste 200
Fargo, ND 58104-4556
Phone
(701) 293-9829
Fax
(701) 293-0111
NPI assigned
Jul 20, 2015
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 14391 ND Primary

Addresses

Primary practice location

4450 31St Ave S Ste 200
Fargo, ND 58104-4556

Mailing address

4450 31St Ave S Ste 200
Fargo, ND 58104-4556
Phone (701) 293-9829

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mgilca@rcfargo.intellechartdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20171004001449 ND Practitioner - Ophthalmology 3870809452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Consultants, LTDGroup PAC ID 7618936568, 5 clinicians

Practice addresses (Care Compare)

4450 31St Ave S
Suite 200
Fargo, ND 58104-4556
Phone (701) 293-9829

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.39 of 100Reported as group
Quality
91.62
Promoting interoperability
100
Improvement activities
40
Cost
66.36

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14391NDMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Consultants, LTD Ophthalmology CurrentSince Oct 2, 2017 Accepting new patients

Locations

2829 University Dr S
Ste 204
Fargo, ND 58103
Phone (701) 293-9829

4450 31st Ave S
Ste 200
Fargo, ND 58104
Phone (701) 293-9829

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386028314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 31ST AVE S STE 200",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044556",
            "telephone_number": "701-293-9829",
            "fax_number": "701-293-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 31ST AVE S STE 200",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044556",
            "telephone_number": "701-293-9829",
            "fax_number": "701-293-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILCA",
        "first_name": "MARINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2022-07-21",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "ND",
            "license": "14391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgilca@rcfargo.intellechartdirect.net",
            "affiliation": "N",
            "endpointDescription": "Send/receive CCDA only",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4450 31st Ave S Ste 200",
            "city": "Fargo",
            "state": "ND",
            "country_code": "US",
            "postal_code": "581044556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.