Individual provider Active NPI

Deanne Michiko Nakamoto, MD

  • Ophthalmology Physician
  • Silverdale, WA
National Provider Identifier
1609073345
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD60158450 Issued in WA
Practice address
3260 NW Mount Vintage Way
Silverdale, WA 98383-6000
Phone
(360) 698-9500
Fax
(360) 698-9900
NPI assigned
Jun 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD60158450 WA Primary

Addresses

Primary practice location

3260 NW Mount Vintage Way
Silverdale, WA 98383-6000

Mailing address

3260 NW Mount Vintage Way
Silverdale, WA 98383-6000
Phone (360) 698-9500

Other identifiers 2

IdentifierTypeStateIssuer
0093NAOtherWAREGENCE
1609073345MedicaidWA

Other names 1

  • Dr. Deanne Nakamoto Farach Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20101116001124 WA Practitioner - Ophthalmology 0446303226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Yale University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Clinic of Bremerton, Inc. P.S.Group PAC ID 1254229248, 7 clinicians

Practice addresses (Care Compare)

3260 NW Mount Vintage Way
Silverdale, WA 98383-6000
Phone (360) 698-9500

Merit-based Incentive Payment System (MIPS)

Final score
93.28 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD60158450WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Clinic of Bremerton, Inc. P.S. Ophthalmology CurrentSince Sep 1, 2010 Accepting new patients
Prohealth Physicians PC Past Accepting new patients
Eye Disease Consultants, LLC Ophthalmology PastSince Sep 15, 2003 Accepting new patients

Locations

3260 NW Mount Vintage Way
Silverdale, WA 98383
Phone (360) 698-1685

Interoperability endpoints

  • Direct secure messaging: dnakamoto@aels.intellechartdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1609073345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 NW MOUNT VINTAGE WAY",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983836000",
            "telephone_number": "360-698-9500",
            "fax_number": "360-698-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 NW MOUNT VINTAGE WAY",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983836000",
            "telephone_number": "360-698-9500",
            "fax_number": "360-698-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAMOTO",
        "first_name": "DEANNE",
        "middle_name": "MICHIKO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD60158450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "0093NA",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609073345",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNE",
            "last_name": "FARACH",
            "middle_name": "NAKAMOTO",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.