NPIMap

Individual provider Active NPI

Tarek A Shazly, MD

  • Student in an Organized Health Care Education/Training Program
  • Boston, MA
National Provider Identifier
1457581894
Registry record updated Jul 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
RS2017-0578 Issued in NM
Practice address
Massachusetts Eye & Ear Infirmary
243 Charles Street
Boston, MA 02114
Phone
(617) 573-7900
NPI assigned
Jul 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2017

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 L-235634 MA
Student in an Organized Health Care Education/Training Program 390200000X RS2017-0578 NM Primary

Addresses

Primary practice location

Massachusetts Eye & Ear Infirmary
243 Charles Street
Boston, MA 02114

Mailing address

1 University of New Mexico Department of Ophthalology
Albuquerque, NM 87131-0001
Phone (617) 573-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110620000074 MA Practitioner - Ophthalmology 8527246602 Reassigns benefits to 1 organization
I20131031001308 PA Practitioner - Ophthalmology 8527246602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

100 Delafield Rd
Pittsburgh, PA 15215-3247

815 Freeport Rd
Pittsburgh, PA 15215-3301
Phone (412) 383-3200

Hospital & facility affiliations

  • Upmc St Margaret Hospital, Pittsburgh, PA, CCN 390102
  • Upmc Mercy Hospital, Pittsburgh, PA, CCN 390028

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L-235634MAMDOphthalmology Physician
RS2017-0578NMMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians Ophthalmology CurrentSince Aug 5, 2013 Accepting new patients
University of Pittsburgh Physicians CurrentSince Aug 5, 2013 Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients

Locations

100 Delafield Rd
Ste 201
Pittsburgh, PA 15215
Phone (412) 782-5900

203 Lothrop St
Fl 7
Pittsburgh, PA 15213
Phone (412) 647-2200

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 10

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": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501286400000",
    "number": "1457581894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY OF NEW MEXICO DEPARTMENT OF OPHTHALOLOGY",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "617-573-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MASSACHUSETTS EYE & EAR INFIRMARY",
            "address_2": "243 CHARLES STREET",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02114",
            "telephone_number": "617-573-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAZLY",
        "first_name": "TAREK",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-20",
        "last_updated": "2017-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "L-235634",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": "RS2017-0578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.