Individual provider Active NPI

Yoash R Enzer, M.D.

  • Ophthalmology Physician
  • Providence, RI
National Provider Identifier
1538154703
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
7280 Issued in RI
Practice address
120 Dudley St
Suite 104
Providence, RI 02905-2436
Phone
(401) 274-4464
Fax
(401) 831-0710
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 7280 RI Primary
Plastic and Reconstructive Surgery Physician 2086S0122X 7280 RI
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X 7280 RI

Addresses

Primary practice location

120 Dudley St
Suite 104
Providence, RI 02905-2436

Mailing address

120 Dudley St
Suite 104
Providence, RI 02905-2436
Phone (401) 274-4464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20040225001084 RI Practitioner - OphthalmologyPractitioner - Plastic and Reconstructive Surgery 1557257904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Plastic and Reconstructive Surgery
Education
University of Cincinnati College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 Dudley St
Suite 104
Providence, RI 02905-2431
Phone (401) 274-4464

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD07280RIMDOphthalmic Plastic and Reconstructive Surgery Physician
7280RIMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Enzer & Associates, PC Ophthalmology CurrentSince Jan 1, 2004 Accepting new patients

Locations

738 Washington St
South Attleboro, MA 02703
Phone (508) 761-6025

120 Dudley St
Ste 104
Providence, RI 02905
Phone (401) 274-4464

Organizations & group practices 1

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": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247702400000",
    "number": "1538154703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 DUDLEY ST",
            "address_2": "SUITE 104",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029052436",
            "telephone_number": "401-274-4464",
            "fax_number": "401-831-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 DUDLEY ST",
            "address_2": "SUITE 104",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029052436",
            "telephone_number": "401-274-4464",
            "fax_number": "401-831-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENZER",
        "first_name": "YOASH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "RI",
            "license": "7280",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "RI",
            "license": "7280",
            "primary": false
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "RI",
            "license": "7280",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.