Active NPI
Miso Gostimir, MD, MPH
- Ophthalmology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD476883
- Practice address
- 840 Walnut St Ste 930
Philadelphia, PA 19107-5599 - Phone
- (215) 928-3130
- NPI assigned
- Sep 15, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuro-ophthalmology Physician | 207WX0109X | MD476883 | PA | |
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | MD476883 | PA | |
| Ophthalmology Physician | 207W00000X | MD476883 | PA | Primary |
Addresses
Primary practice location
840 Walnut St Ste 930
Philadelphia, PA 19107-5599
Mailing address
840 Walnut St Ste 930
Philadelphia, PA 19107-5109
Phone (215) 928-3130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220930000726 | PA | Practitioner - Ophthalmology | 1153707005 | Reassigns benefits to 1 organization |
| I20241101002968 | OH | Practitioner - Ophthalmology | 1153707005 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000
Hospital & facility affiliations
- Uh Cleveland Medical Center
- Parma Community General Hospital
- Lake Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.34 of 100
- Quality
- 80.85
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.95
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD476883 | PA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wills Eye Ophthalmology Clinic, Inc | Ophthalmology | Current | Accepting new patients |
| University Hospitals Medical Group Inc | Ophthalmology | Current | Accepting new patients |
| Multicare Health System | Past | Accepting new patients |
Locations
8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024
11100 Euclid Ave
Ste 3200
Cleveland, OH 44106
11100 Euclid Ave
Cleveland Heights, OH 44106
231 Seasons Rd
Ste 1200
Cuyahoga Falls, OH 44224
5850 Landerbrook Dr
Ste 306
Mayfield Hts, OH 44124
Phone (216) 844-5144
1611 S Green Rd
Ste 306B
South Euclid, OH 44121
Phone (216) 291-3550
960 Clague Rd
Ste 2200
Westlake, OH 44145
Phone 44025021003
840 Walnut St
Ste 1230
Philadelphia, PA 19107
Phone (215) 440-3160
840 Walnut St
Ste 930
Philadelphia, PA 19107
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- miso.gostimir.p1@direct.willseye.nextgenshare.com
- mgostimir612068@ehrdirect.uhhospitals.org
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.
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
OH, Ophthalmology
-
- Ophthalmology Physician
- Philadelphia, PA
- NPI 1184624009
Ophthalmology, PA
-
- Nurse Practitioner
- Tacoma, WA
- NPI 1407808413
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Parma, OH
- NPI 1164481677
Hospital
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1043397292
Hospital
-
- Multi-Specialty Clinic/Center
- Mentor, OH
- NPI 1487770335
Hospital
-
- Multi-Specialty Clinic/Center
- Westlake, OH
- NPI 1669598082
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663200000000",
"number": "1598487597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 WALNUT ST STE 930",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075109",
"telephone_number": "215-928-3130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 WALNUT ST STE 930",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075599",
"telephone_number": "215-928-3130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOSTIMIR",
"first_name": "MISO",
"credential": "MD, MPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-15",
"last_updated": "2022-09-15",
"certification_date": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0109X",
"taxonomy_group": "",
"desc": "Ophthalmology, Neuro-ophthalmology",
"state": "PA",
"license": "MD476883",
"primary": false
},
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "PA",
"license": "MD476883",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD476883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.