Individual provider Active NPI

Carlos A. Omphroy, M. D.

  • Ophthalmology Physician
  • Mililani, HI
National Provider Identifier
1437165396
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD4936 Issued in HI
Practice address
95-720 Lanikuhana Ave
Suite 110
Mililani, HI 96789-2985
Phone
(808) 625-5577
Fax
(808) 625-1221
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

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 MD4936 HI Primary

Addresses

Primary practice location

95-720 Lanikuhana Ave
Suite 110
Mililani, HI 96789-2985

Mailing address

95-720 Lanikuhana Ave
Suite 110
Mililani, HI 96789-2985
Phone (808) 625-5577

Other identifiers 2

IdentifierTypeStateIssuer
01649901MedicaidHI
C01766-9OtherHIHMSA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20050928001369 HI Practitioner - Ophthalmology 8325942188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, Geffen School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

95 -720 Lanikuhana Ave
Mililani, HI 96789-2986

Merit-based Incentive Payment System (MIPS)

Final score
87.28 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
57.59

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery144

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD4936HIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos a. Omphroy, M.D., Inc. CurrentSince Jan 1, 1990 Accepting new patients

Locations

95-720 Lanikuhana Ave
Ste 110
Mililani, HI 96789
Phone (808) 623-6244

Organizations & group practices 1

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245283200000",
    "number": "1437165396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-720 LANIKUHANA AVE",
            "address_2": "SUITE 110",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967892985",
            "telephone_number": "808-625-5577",
            "fax_number": "808-625-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-720 LANIKUHANA AVE",
            "address_2": "SUITE 110",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967892985",
            "telephone_number": "808-625-5577",
            "fax_number": "808-625-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMPHROY",
        "first_name": "CARLOS",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2009-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "HI",
            "license": "MD4936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01649901",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "C01766-9",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mililani, HI

Sources for this page

Verify at the official NPI Registry.