Stephen Richard Kaufman, M.D.

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

35.061194 Issued in OH

Practice address

4676 Douglas Cir NW
Canton, OH 44718-3619

Phone

(330) 494-1116

Fax

(330) 494-0276

NPI assigned

Jun 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Electronic endpoints 5

Medicare fee-for-service enrollment

Enrolled in OH, PA2 enrollments

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 2

Specialty

Ophthalmology

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vitreo-Retinal Consultants, Inc.Group PAC ID 5890682835, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.5 of 100Reported as group

Quality

100

Promoting interoperability

95

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Vitreo-Retinal Consultants, Inc.

  • Ophthalmology Physician
  • Canton, OH
  • NPI 1750347662

  PA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1568464832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4676 DOUGLAS CIR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183619",
            "telephone_number": "330-494-1116",
            "fax_number": "330-494-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4676 DOUGLAS CIR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183619",
            "telephone_number": "330-494-1116",
            "fax_number": "330-494-0276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Manor Hill Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Canfield",
            "state": "OH",
            "postal_code": "444061538",
            "country_code": "US",
            "telephone_number": "330-533-8851",
            "fax_number": "330-533-8930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8140 Norton Pkwy",
            "address_purpose": "LOCATION",
            "city": "Mentor",
            "state": "OH",
            "postal_code": "440606017",
            "country_code": "US",
            "telephone_number": "440-918-7417",
            "fax_number": "440-918-7440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3135 Highland Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "PA",
            "postal_code": "161484511",
            "country_code": "US",
            "telephone_number": "724-346-4180",
            "fax_number": "172-434-6418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "658 Boulevard St.",
            "address_2": "Medical Building",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "OH",
            "postal_code": "446222098",
            "country_code": "US",
            "telephone_number": "330-364-5024",
            "fax_number": "330-364-2729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "STEPHEN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "OH",
            "license": "35.061194",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD66059L",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35061194",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0851618",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017080100001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephen.kaufman@direct.vrc.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "Vitreo-Retinal Consultants, Inc.",
            "address_1": "658 Boulevard St.",
            "address_2": "Medical Building",
            "city": "Dover",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446222098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephen.kaufman@direct.vrc.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "Vitreo-Retinal Consultants, Inc.",
            "address_1": "45 Manor Hill Dr Ste 200",
            "city": "Canfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "444061538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephen.kaufman@direct.vrc.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "Vitreo-Retinal Consultants, Inc.",
            "address_1": "8140 Norton Pkwy",
            "city": "Mentor",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440606017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephen.kaufman@direct.vrc.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "Vitreo-Retinal Consultants, Inc.",
            "address_1": "4676 Douglas Cir NW",
            "city": "Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447183619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephen.kaufman@direct.vrc.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "Vitreo-Retinal Consultants, Inc.",
            "address_1": "3135 Highland Rd Ste A",
            "city": "Hermitage",
            "state": "PA",
            "country_code": "US",
            "postal_code": "161484511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrew Owen Katcher, PHARMD
• Kate'S Heavenly Hands, LLC
• Tapiwa E Katsande, CT
• Erica Lindars Katz, MD
• Thomas Robert Kaufholz, D.D.S.
• Elliot Michael Kay, M.D. 5/2012
• Danielle Kaya, MS, RD, LD, CNSC
• Erica Kayatin, MAED
• Kayla Kayatin, OTR/L
• Liesa Kaye, LISW-S

• Retina Specialist (Ophthalmology) Physician in Canton, OH
• Providers in Canton, OH by specialty
• Retina Specialist (Ophthalmology) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.

Verify at the official NPI Registry.