Individual provider Active NPI

Nikola Ragusa, M.D.

  • Ophthalmology Physician
  • Bronx, NY
National Provider Identifier
1568625192
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
245591 Issued in NY
Practice address
1625 Saint Peters Ave
Bronx, NY 10461-3000
Phone
(718) 823-9227
Fax
(718) 823-3279
NPI assigned
Jul 3, 2008
Last updated
May 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 245591 NY Primary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 245591 NY

Addresses

Primary practice location

1625 Saint Peters Ave
Bronx, NY 10461-3000

Mailing address

1625 Saint Peters Ave
Bronx, NY 10461-3000
Phone (718) 823-9227

Other identifiers 1

IdentifierTypeStateIssuer
03232446MedicaidNY

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
I20110426000129 NY Practitioner - Ophthalmology 1153506753 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York Downstate Medical Center, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael a Pisacano MD PCGroup PAC ID 0941271720, 9 clinicians
Gotham Eye Medical P.C.Group PAC ID 5496987026, 8 clinicians

Practice addresses (Care Compare)

2104 30TH Ave
Astoria, NY 11102-3332
Phone (718) 757-0564

2590 Frisby Ave
Bronx, NY 10461-3240
Phone (718) 409-9400

329 E 149TH St
FL 2
Bronx, NY 10451-5626
Phone (888) 212-3937

Merit-based Incentive Payment System (MIPS)

Final score
87.22 of 100Reported as group
Quality
76.67
Promoting interoperability
89
Improvement activities
40
Cost
73.24

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
245591NYMDGlaucoma Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ken Moadel M.D,P.C. Single Specialty CurrentSince May 1, 2021 Accepting new patients
Park South Medical PLLC Single Specialty CurrentSince Dec 1, 2020 Accepting new patients
Michael a Pisacano MD PC Single Specialty CurrentSince Aug 1, 2025 Accepting new patients
Westchester Square Ophthalmology PC Single Specialty CurrentSince Aug 1, 2018 Accepting new patients
Ophthalmic Consultant of New York, PLLC Single Specialty CurrentSince May 19, 2021 Accepting new patients
Ny Comprehensive Medical Wellness P.C. Single Specialty CurrentSince Apr 14, 2022 Accepting new patients
Mark Fromer, MD PC Single Specialty PastSince May 15, 2012 Accepting new patients
Harooni & Sheindlin MD PC Single Specialty Past Accepting new patients

Locations

1200 Waters Pl
Ste M101
Bronx, NY 10461
Phone (718) 863-5511

1625 Saint Peters Ave
Bronx, NY 10461
Phone (718) 863-7397

2590 Frisby Ave
Bronx, NY 10461
Phone (718) 239-1610

329 E 149th St
Bronx, NY 10451

329 E 149th St
Fl 2
Bronx, NY 10451
Phone (718) 585-5500

2104 30th Ave
Long Island City, NY 11102
Phone (718) 278-4803

110 E 40th St
Fl 6
New York, NY 10016
Phone (212) 490-3937

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: nragusa4782468@nychhc.direct-ci.com
  • Direct secure messaging: ragusan@neilpatel.emadirect.md

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1568625192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 SAINT PETERS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613000",
            "telephone_number": "718-823-9227",
            "fax_number": "718-823-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 SAINT PETERS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613000",
            "telephone_number": "718-823-9227",
            "fax_number": "718-823-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGUSA",
        "first_name": "NIKOLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "245591",
            "primary": true
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "NY",
            "license": "245591",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03232446",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.