Individual provider Active NPI

Robert William Weisenthal, M.D.

  • Ophthalmology Physician
  • East Syracuse, NY
National Provider Identifier
1508957507
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
1740541 Issued in NY
Practice address
5770 Commons Park
East Syracuse, NY 13057-9400
Phone
(315) 445-1577
Fax
(315) 445-4862
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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 1740541 NY Primary

Addresses

Primary practice location

5770 Commons Park
East Syracuse, NY 13057-9400

Mailing address

PO Box 48
Syracuse, NY 13214-0048
Phone (315) 445-1577

Other identifiers 1

IdentifierTypeStateIssuer
01076719MedicaidNY

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
I20110422000145 NY Practitioner - Ophthalmology 7315918638 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Wisconsin School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cny Medical and Surgical Eye Care PCGroup PAC ID 7012988314, 5 clinicians

Practice addresses (Care Compare)

5770 Commons Park
Dewitt, NY 13214-0048
Phone (315) 445-1578

5770 Commons Park Dr
P.O. Box 48
Dewitt, NY 13214

PO Box
Suite 48
De Witt, NY 13214-0048

Merit-based Incentive Payment System (MIPS)

Final score
76.08 of 100Reported as group
Quality
78.05
Promoting interoperability
99
Improvement activities
40
Cost
43.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery309

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1740541NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cny Medical and Surgical Eye Care PC CurrentSince May 5, 1993 Accepting new patients
Cny Medical and Surgical Eye Care PC Ophthalmology CurrentSince Sep 1, 1997 Accepting new patients
Ophthalmology Medical Service Group Inc Ophthalmology CurrentSince Jan 1, 1997 Accepting new patients

Locations

5700 W Genesee St
Ste 105
Camillus, NY 13031
Phone (315) 478-4185

5770 Commons Park
East Syracuse, NY 13057
Phone (315) 445-1577

5000 Brittonfield Pkwy
Ste A102
East Syracuse, NY 13057
Phone (315) 432-0555

Interoperability endpoints

  • Direct secure messaging: rweisenthal@cnyeyecare.medentdirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1508957507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132140048",
            "telephone_number": "315-445-1577",
            "fax_number": "315-445-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 COMMONS PARK",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579400",
            "telephone_number": "315-445-1577",
            "fax_number": "315-445-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISENTHAL",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "1740541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01076719",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

Verify at the official NPI Registry.