Individual provider Active NPI

John Morgan Micheletti, M.D.

  • Ophthalmology Physician
  • Houston, TX
National Provider Identifier
1487073920
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
R5779 Issued in TX
Practice address
3100 Weslayan St
Houston, TX 77027-5727
Phone
(713) 526-1600
NPI assigned
Apr 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 R5779 TX Primary

Addresses

Primary practice location

3100 Weslayan St
Houston, TX 77027-5727

Mailing address

3100 Weslayan St Ste 400
Houston, TX 77027-5752

Other practice location 1

49 Jesse Hill Jr Dr SE
Suite 470
Atlanta, GA 30303-3049
Phone (404) 778-0263

Other identifiers 2

IdentifierTypeStateIssuer
385669201MedicaidTX
385669202MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmmicheletti@direct.berkeleyeye.com Berkeley Eye Institute, PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180516002128 TX Practitioner - Ophthalmology 8628332806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Baylor College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkeley Eye Institute, PLLCGroup PAC ID 4082602156, 62 clinicians

Practice addresses (Care Compare)

3100 Weslayan St
Suite 400
Houston, TX 77027-5752
Phone (713) 526-1600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.82 of 100Reported as group
Quality
81.48
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery468

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R5779TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berkeley Eye Institute, PLLC Ophthalmology CurrentSince Apr 1, 2018 Accepting new patients
Berkeley Eye Institute, PLLC Ophthalmology CurrentSince Apr 1, 2018 Accepting new patients
Clear Lake Eye Center LLP Past Accepting new patients

Locations

605 Medical Ct
Ste 203
Brenham, TX 77833
Phone (979) 353-5556

2012 West Loop
El Campo, TX 77437
Phone (979) 543-6821

8731 Katy Fwy
Ste 300
Houston, TX 77024
Phone (713) 424-4824

3100 Weslayan St
Ste 400
Houston, TX 77027
Phone (713) 526-1600

3100 Weslayan St
Houston, TX 77027
Phone (713) 526-1600

21502 Merchants Way
Katy, TX 77449
Phone (281) 579-6777

1535 Cullen Blvd
Ste 200
Pearland, TX 77581
Phone (713) 436-1551

1435 Highway 6
Ste 202
Sugar Land, TX 77478
Phone (281) 478-9889

Organizations & group practices 3

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 1

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": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1487073920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 WESLAYAN ST STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770275752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 WESLAYAN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770275727",
            "telephone_number": "713-526-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 Jesse Hill Jr Dr SE",
            "address_2": "Suite 470",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303033049",
            "country_code": "US",
            "telephone_number": "404-778-0263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHELETTI",
        "first_name": "JOHN",
        "middle_name": "MORGAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-14",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "R5779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "385669201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "385669202",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmmicheletti@direct.berkeleyeye.com",
            "affiliation": "Y",
            "affiliationName": "Berkeley Eye Institute, PLLC",
            "address_1": "3100 Weslayan St",
            "address_2": "Ste 400",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770275752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.