Matthew J Dykhuizen, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

46137 Issued in KY

Practice address

2865 Chancellor Dr
Suite 215
Crestview Hills, KY 41017-3912

Phone

(859) 344-2079

Fax

(859) 581-7207

NPI assigned

Jul 1, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY, 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

Specialty

Ophthalmology

Education

University of Massachusetts Medical School, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tri-State Centers for Sight IncGroup PAC ID 7113812090, shared by 8 NPIs, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Elizabeth Edgewood Hospital, Edgewood, KY, CCN 180035
• Christ Hospital Hospital, Cincinnati, OH, CCN 360163

Merit-based Incentive Payment System (MIPS)

Final score

93.01 of 100Reported as apm

Quality

86.02

Promoting interoperability

100

Improvement activities

40

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 and National Provider Directory roles.

• Tri-State Centers for Sight, Inc.

  • Ophthalmology Physician
  • Crestview Hills, KY
  • NPI 1467520296

  KY, Ophthalmology

  Medicare reassignment NPD
• Tri-State Centers for Sight Inc

  • Ophthalmologic Surgery Clinic/Center
  • Cincinnati, OH
  • NPI 1871698894

  OH

  Medicare reassignment NPD
• Tri-State Centers for Sight, Inc.

  • Ophthalmology Physician
  • Cincinnati, OH
  • NPI 1912232505

  OH, Ophthalmology

  Medicare reassignment NPD
• Tri-State Centers for Sight Inc

  • Ophthalmology Physician
  • Corbin, KY
  • NPI 1932912466

  Ophthalmology

  NPD
• Midwest Eye Surgery Center

  • Ophthalmologic Surgery Clinic/Center
  • Cincinnati, OH
  • NPI 1083098016
  NPD
• Tri-State Centers for Sight Inc

  • Ophthalmology Physician
  • Blue Ash, OH
  • NPI 1851875744

  Ophthalmology

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Elizabeth Medical Center, Inc

  • General Acute Care Hospital
  • Edgewood, KY
  • NPI 1467492421

  Hospital

  Care Compare affiliation
• Christ Hospital

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1780633289

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1609004308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 CHANCELLOR DR",
            "address_2": "STE 215",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173931",
            "telephone_number": "859-344-2079",
            "fax_number": "859-581-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 CHANCELLOR DR",
            "address_2": "SUITE 215",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173912",
            "telephone_number": "859-344-2079",
            "fax_number": "859-581-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKHUIZEN",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-01",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35.128411",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "KY",
            "license": "46137",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "OH",
            "license": "35.128411",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "46137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0110825",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100243970",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhianna Dunne, M.A., CF-SLP
• Lester Sherman Duplechan, M.D.
• Michael William Dusing, MD
• Sophie Duval-Austin, DMD
• Dva Renal Healthcare Inc
• Jordan A Earlywine, DPT
• Brooke B Edwards, M.D.
• David Edwards, APRN, MSN, PMHNP-BC
• Shahed Elhamdani, MD
• Edward R Elicker, MD

• All providers in Crestview Hills, KY
• Ophthalmology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.