Individual provider Active NPI

Miso Gostimir, MD, MPH

  • Ophthalmology Physician
  • Philadelphia, PA
National Provider Identifier
1598487597
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD476883 Issued in PA
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

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, OH2 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

Enrollment IDStateProvider typePAC IDDetails
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
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000

Hospital & facility affiliations

  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • Parma Community General Hospital Hospital, Parma, OH, CCN 360041
  • Lake Health Hospital, Concord, OH, CCN 360098

Merit-based Incentive Payment System (MIPS)

Final score
87.34 of 100Reported as group
Quality
80.85
Promoting interoperability
100
Improvement activities
40
Cost
76.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD476883PAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wills Eye Ophthalmology Clinic, Inc Ophthalmology CurrentSince Aug 1, 2022 Accepting new patients
University Hospitals Medical Group Inc Ophthalmology CurrentSince Oct 1, 2024 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: miso.gostimir.p1@direct.willseye.nextgenshare.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.