Michael C Diesenhouse, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

22054 Issued in AZ

Practice address

5240 E Knight Dr
Ste 104
Tucson, AZ 85712-2122

Phone

(520) 795-4202

Fax

(520) 326-5317

NPI assigned

Oct 28, 2006

Last updated

Oct 19, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Ophthalmology

Education

Emory University School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Associates LTDGroup PAC ID 1355232653, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.19 of 100Reported as individual

Quality

100

Improvement activities

40

Cost

73.96

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eye Associates LTD

  dba Eye Associates of Tucson

  • Ophthalmology Physician
  • Tucson, AZ
  • NPI 1144477050
  Medicare reassignment Care Compare group
• Eye Associates LTD

  • Durable Medical Equipment & Medical Supplies
  • Tucson, AZ
  • NPI 1851780019

  Ophthalmology

  NPD Authorized official
• Eye Associates LTD

  • Ophthalmology Physician
  • Tucson, AZ
  • NPI 1750507273
  NPD (past) Authorized official
• Eye Associates LTD

  • Eyewear Supplier
  • Tucson, AZ
  • NPI 1992979314
  Authorized official Same address or phone
• Eye Associates LTD

  dba Eye Associates of Tucson

  • Ophthalmology Physician
  • Tucson, AZ
  • NPI 1275756777
  NPD

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1568548923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 E KNIGHT DR",
            "address_2": "STE 104",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122122",
            "telephone_number": "520-795-4202",
            "fax_number": "520-326-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5240 E KNIGHT DR",
            "address_2": "STE 104",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122122",
            "telephone_number": "520-795-4202",
            "fax_number": "520-326-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIESENHOUSE",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-28",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "22054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196627",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne N Diedrich, PT, DPT
• Diego H. Calonje M.D. PC
• Margo Diego, LAMFT
• Carl F Diener, MD
• Brett Dier, LPC
• Kyla Diesner, DNP, FNP-C
• Bonnie Marie Dietrich, OTR/L
• David Dietz, M.ED.
• Andrew C Dieu, MD
• Steve Diez de Pinos, M.D.

• Ophthalmology Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Ophthalmology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.