Individual provider Active NPI

Jonathan Etter, M.D.

  • Ophthalmology Physician
  • Miami, FL
National Provider Identifier
1508033432
Registry record updated Jul 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME 103881 Issued in FL
Practice address
900 NW 17TH St
Miami, FL 33136-1119
Phone
(305) 750-0756
NPI assigned
May 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2010

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 ME 103881 FL Primary

Addresses

Primary practice location

900 NW 17TH St
Miami, FL 33136-1119

Mailing address

3660 Waialae Ave
Suite 304
Honolulu, HI 96816-3257
Phone (808) 735-1935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20120523000453 MD Practitioner - Ophthalmology 3870630007 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Jefferson Medical College of Thomas Jefferson University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Eye Care Center LLCGroup PAC ID 9436175684, 5 clinicians

Practice addresses (Care Compare)

1001 Pine Heights Ave
Suite 101
Baltimore, MD 21229-5266
Phone (410) 644-9515

11055 Little Patuxent Pkwy
Suite 105
Columbia, MD 21044-2908
Phone (410) 964-8285

Merit-based Incentive Payment System (MIPS)

Final score
82.65 of 100Reported as group
Quality
97.3
Improvement activities
40
Cost
45.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery394
Removal or shaving of skin growth1-10

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 Medicine

State licenses

LicenseStateTypeSpecialty
ME 103881FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Physicians Eye Care Center LLC Ophthalmology CurrentSince Jan 1, 2016 Accepting new patients
Cornea & Refractive Surgery Consultants of the Pacific, Inc. Ophthalmology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1001 Pine Heights Ave
Baltimore, MD 21229
Phone (410) 644-9515

1001 Pine Heights Ave
Ste 100
Baltimore, MD 21229
Phone (410) 644-0929

2435 W Belvedere Ave
Ste 56
Baltimore, MD 21215
Phone (410) 578-8632

1001 Pine Heights Ave
Ste 101
Baltimore, MD 21229
Phone (410) 644-9515

11055 Little Patuxent Pkwy
Ste 105
Columbia, MD 21044
Phone (410) 686-3000

2400 Longstone Ln
Ste 206
Marriottsville, MD 21104
Phone (410) 480-9966

Interoperability endpoints

  • Direct secure messaging: jetter@physicianseyecare.intellechartdirect.net

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": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278288000000",
    "number": "1508033432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 WAIALAE AVE",
            "address_2": "SUITE 304",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163257",
            "telephone_number": "808-735-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NW 17TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361119",
            "telephone_number": "305-750-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTER",
        "first_name": "JONATHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-09",
        "last_updated": "2010-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME 103881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.