Individual provider Active NPI

Mark Louis Hornfeld, DO

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1467428573
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
179425 Issued in NY
Practice address
125 W 79TH Street
New York, NY 10024-6454
Phone
(212) 580-8881
Fax
(844) 403-8059
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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 179425 NY Primary

Addresses

Primary practice location

125 W 79TH Street
New York, NY 10024-6454

Mailing address

125 W 79TH Street
New York, NY 10024-6454
Phone (212) 580-8881

Other identifiers 2

IdentifierTypeStateIssuer
01693597MedicaidNY
01G93567MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20041030000155 NY Practitioner - Ophthalmology 3274595475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York College of Osteo Medicine of New York Institute of Technology, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

125 W 79TH St
New York, NY 10024-6454
Phone (212) 580-8881

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
179425NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upper West Side Medical P.L.L.C. Ophthalmology CurrentSince Oct 10, 2015 Accepting new patients
Premium Laser Ophthalmology LLC Ophthalmology CurrentSince Sep 1, 2004 Accepting new patients
Curreri Ophthalmology Care LLC Ophthalmology Past Accepting new patients
Ny Urogynecology & Reconstructive Pelvic Surgery PC Past Accepting new patients

Locations

231 S 3rd St
Brooklyn, NY 11211
Phone (718) 502-6969

6420 108th St
Forest Hills, NY 11375
Phone (718) 520-6500

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/imedicware_premiumlaseroph

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1467428573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W 79TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246454",
            "telephone_number": "212-580-8881",
            "fax_number": "844-403-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W 79TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246454",
            "telephone_number": "212-580-8881",
            "fax_number": "844-403-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNFELD",
        "first_name": "MARK",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "179425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01693597",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01G93567",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.