Individual provider Active NPI

Marc D Hirsch, MD

  • Ophthalmology Physician
  • Milwaukee, WI
National Provider Identifier
1386624120
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
48395 Issued in WI
Practice address
2801 W Kinnickinnic River Pkwy
Ste 170
Milwaukee, WI 53215-3669
Phone
(414) 385-1277
Fax
(414) 385-8730
NPI assigned
Jan 18, 2006
Last updated
Nov 14, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 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 48395 WI Primary

Addresses

Primary practice location

2801 W Kinnickinnic River Pkwy
Ste 170
Milwaukee, WI 53215-3669

Mailing address

2801 W Kinnickinnic River Pkwy
Ste 170
Milwaukee, WI 53215-3669
Phone (414) 385-1277

Other identifiers 1

IdentifierTypeStateIssuer
34678800MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20050901000103 WI Practitioner - Ophthalmology 8426043852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Chicago College of Medicine and Surgery, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physician Associates SCGroup PAC ID 9931171402, 8 clinicians

Practice addresses (Care Compare)

1249 W Liebau Rd
Suite 102
Mequon, WI 53092-3397
Phone (414) 928-2020

13111 N Port Washington Rd
Mequon, WI 53097-2416
Phone (262) 243-7373

2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone (414) 928-2020

4300 W Layton Ave
Suite 100
Greenfield, WI 53220-4136
Phone (414) 928-2020

8375 S Howell Ave
Suite 204
Oak Creek, WI 53154-8344
Phone (414) 928-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.71 of 100Reported as group
Quality
83.61
Improvement activities
40
Cost
70.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery234

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48395WIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physician Associates, S.C. Ophthalmology CurrentSince Sep 19, 2005 Accepting new patients
Eye Physician Associates, S.C. Ophthalmology CurrentSince Sep 19, 2005 Accepting new patients
BJG MD SC Past Accepting new patients
Dr K F Nassif & Associates SC Ophthalmology PastSince Mar 7, 1997 Accepting new patients

Locations

1249 W Liebau Rd
Ste 102
Mequon, WI 53092
Phone (414) 481-8828

2801 W Kinnickinnic River Pkwy
Ste 170
Milwaukee, WI 53215
Phone (414) 385-1277

4300 W Layton Ave
#100
Milwaukee, WI 53220
Phone (414) 260-0789

8375 S Howell Ave
Ste 204
Oak Creek, WI 53154
Phone (414) 928-2020

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

10625 W North Ave
Ste 200
Wauwatosa, WI 53226
Phone (414) 258-6880

Interoperability endpoints

  • Direct secure messaging: march@epasc1966.srs-direct.com

Organizations & group practices 4

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 3

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1386624120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 W KINNICKINNIC RIVER PKWY",
            "address_2": "STE 170",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153669",
            "telephone_number": "414-385-1277",
            "fax_number": "414-385-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 W KINNICKINNIC RIVER PKWY",
            "address_2": "STE 170",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153669",
            "telephone_number": "414-385-1277",
            "fax_number": "414-385-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCH",
        "first_name": "MARC",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "48395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34678800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.