Individual provider Active NPI

Joseph A Hegleh, MD FACS

  • Ophthalmology Physician
  • Port Charlotte, FL
National Provider Identifier
1386637387
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
81459 Issued in FL
Practice address
3195 Tamiami TRL
Suite B
Port Charlotte, FL 33952-8029
Phone
(941) 883-2020
Fax
(941) 883-3938
NPI assigned
Aug 24, 2005
Last updated
Jan 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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 81459 FL Primary

Addresses

Primary practice location

3195 Tamiami TRL
Suite B
Port Charlotte, FL 33952-8029

Mailing address

3195 Tamiami TRL
Suite B
Port Charlotte, FL 33952-8029
Phone (941) 883-2020

Other identifiers 2

IdentifierTypeStateIssuer
58829OtherFLBCBS
268425000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20031210000545 FL Practitioner - Ophthalmology 6608772975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1006 N Mills Ave
Arcadia, FL 34266-8811
Phone (863) 993-1773

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35721TNMDPharmacist
81459FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Florida Eye and Laser Institute LLC Ophthalmology CurrentSince Oct 1, 2003 Accepting new patients
Emerald Coast Eye Institute, LLC Ophthalmology PastSince Nov 12, 2023 Accepting new patients
Southeast Eye Surgery Center, PC Ophthalmology Past Accepting new patients
Emerald Coast Eye Institute LLC Ophthalmology PastSince Nov 12, 2023 Accepting new patients
Pecos Valley of New Mexico, LLC Past Accepting new patients

Locations

1006 N Mills Ave
Arcadia, FL 34266
Phone (863) 494-5691

1006 N Mills Ave
Ste 1
Arcadia, FL 34266
Phone (863) 993-7730

3195 Tamiami Trl
Pt Charlotte, FL 33952
Phone (941) 883-2020

3195 Tamiami Trl
Ste B
Pt Charlotte, FL 33952
Phone (941) 629-5339

1857 Floyd St
Sarasota, FL 34239
Phone (941) 266-8878

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ec21ei41
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jhegleh31440@direct.tgh.org

Organizations & group practices 6

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 2

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1386637387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3195 TAMIAMI TRL",
            "address_2": "SUITE B",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528029",
            "telephone_number": "941-883-2020",
            "fax_number": "941-883-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 TAMIAMI TRL",
            "address_2": "SUITE B",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528029",
            "telephone_number": "941-883-2020",
            "fax_number": "941-883-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGLEH",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD FACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "81459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "58829",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268425000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.