Active NPI
Jonathan M Bernstein, M.D.
- Retina Specialist (Ophthalmology) Physician
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- 64990
- Practice address
- 3000 Regency CT Ste 100
Toledo, OH 43623-3081 - Phone
- (800) 832-2015
- Fax
- (419) 885-8440
- NPI assigned
- Jun 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 4301061141 | MI | |
| Ophthalmology Physician | 207W00000X | 64990 | OH | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 4301061141 | MI | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 64990 | OH | Primary |
Addresses
Primary practice location
3000 Regency CT Ste 100
Toledo, OH 43623-3081
Mailing address
850 W North St Ste 104
Jackson, MI 49202-3196
Phone (877) 852-8463
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000126978 | Other | OH | ANTHEM BCBS |
| 180018195 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 80.86 of 100
- Quality
- 98.78
- Promoting interoperability
- 53
- Improvement activities
- 40
- Cost
- 76.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64990 | OH | MD | Ophthalmology Physician |
| 4301061141 | MI | MD | Retina Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS. Ravin, Birndorf & Ravin, Inc. | Ophthalmology | Current | Accepting new patients |
| Mid Michigan Eye Care Center, PC | Ophthalmology | Past | Accepting new patients |
Locations
1801 W Maumee St
Ste 100
Adrian, MI 49221
Phone (517) 265-6131
2723 S State St
Ste 220
Ann Arbor, MI 48104
850 W North St
#104
Jackson, MI 49202
Phone (248) 647-9790
100 S Lynn St
Bryan, OH 43506
Phone (419) 636-0440
3000 Regency Ct
Ste 100
Toledo, OH 43623
Phone (419) 882-2020
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Jackson, MI
- NPI 1649275041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1497750574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 W NORTH ST STE 104",
"city": "JACKSON",
"state": "MI",
"postal_code": "492023196",
"telephone_number": "877-852-8463",
"fax_number": "517-817-0144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 REGENCY CT STE 100",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436233081",
"telephone_number": "800-832-2015",
"fax_number": "419-885-8440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNSTEIN",
"first_name": "JONATHAN",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "4301061141",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OH",
"license": "64990",
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "MI",
"license": "4301061141",
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "OH",
"license": "64990",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000126978",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180018195",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.