Individual provider Active NPI

Christopher D Hogan, M.D.

  • Ophthalmology Physician
  • Gulfport, MS
National Provider Identifier
1417950833
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
1020356 Issued in MA
Practice address
351 Cowan Rd
Gulfport, MS 39507-2019
Phone
(228) 896-1120
Fax
(228) 896-1332
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 1020356 MA Primary
Ophthalmology Physician 207W00000X 14349 MS

Addresses

Primary practice location

351 Cowan Rd
Gulfport, MS 39507-2019

Mailing address

243 Charles St
Boston, MA 02114-3002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, MA2 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

Enrollment IDStateProvider typePAC IDDetails
I20080225000408 MS Practitioner - Ophthalmology 0648286484 Reassigns benefits to 1 organization
I20241023003977 MA Practitioner - Ophthalmology 0648286484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

243 Charles St
Boston, MA 02114-3002
Phone (617) 523-7900

75 Francis St
Boston, MA 02115-6110
Phone (617) 525-6500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.36 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.2

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14349MAMDDentist
14349MSMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hogan Surgical Center, P. a. - Crna Services Current Accepting new patients
Massachusetts Eye and Ear Associates, Inc. Ophthalmology CurrentSince Nov 1, 2024 Accepting new patients
Hogan Eye Clinic, P. a. Ophthalmology CurrentSince Oct 17, 2000 Accepting new patients
Hogan Surgical Center PA CurrentSince Oct 1, 2001 Accepting new patients
Hogan Surgical Center PastSince Oct 1, 2001 Accepting new patients

Locations

243 Charles St
Boston, MA 02114
Phone (617) 523-7900

300 Crown Colony Dr
Ste 201
Quincy, MA 02169
Phone (617) 573-3135

351 Cowan Rd
Gulfport, MS 39507
Phone (228) 896-1120

Interoperability endpoints

  • Direct secure messaging: chogan@direct.mhg.com

Organizations & group practices 5

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.

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1417950833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 CHARLES ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 COWAN RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395072019",
            "telephone_number": "228-896-1120",
            "fax_number": "228-896-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "1020356",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "14349",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.