Individual provider Active NPI

Matthew Zore

  • Ophthalmology Physician
  • Indianapolis, IN
National Provider Identifier
1609142785
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A141500 Issued in CA
Practice address
1160 W Michigan St
Indianapolis, IN 46202-5209
Phone
(317) 274-2020
NPI assigned
Mar 22, 2012
Last updated
Oct 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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 A141500 CA Primary

Addresses

Primary practice location

1160 W Michigan St
Indianapolis, IN 46202-5209

Mailing address

1720 El Camino Real
Ste 225
Burlingame, CA 94010-3230
Phone (650) 483-5749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160629002956 CA Practitioner - Ophthalmology 4880838887 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Indiana University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Ophthalmology Group IncGroup PAC ID 0042281164, 8 clinicians

Practice addresses (Care Compare)

1720 El Camino Real
Suite 225
Burlingame, CA 94010-3230
Phone (650) 697-3200

291 Geary St
Suite 700
San Francisco, CA 94102-1810
Phone (415) 362-3364

901 Campus Dr
Suite 205
Daly City, CA 94015-4930
Phone (650) 756-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A141500CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Ophthalmology Group, Inc. Ophthalmology CurrentSince Sep 1, 2020 Accepting new patients
William D. Mosier, M.D., Inc., a Professional Medical Corporation Ophthalmology CurrentSince Jan 1, 2020 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Sutter Bay Medical Foundation Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients

Locations

1720 El Camino Real
Ste 225
Burlingame, CA 94010
Phone (650) 552-8070

901 Campus Dr
Ste 205
Daly City, CA 94015
Phone (650) 343-9746

265 Laguna Rd
Fullerton, CA 92835
Phone (714) 773-1114

291 Geary St
Ste 700
San Francisco, CA 94102
Phone (415) 326-3364

Interoperability endpoints

  • Direct secure messaging: mzore558461@hisp.ehr.sutterhealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1609142785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 EL CAMINO REAL",
            "address_2": "STE 225",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103230",
            "telephone_number": "650-483-5749",
            "fax_number": "650-697-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 W MICHIGAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025209",
            "telephone_number": "317-274-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZORE",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-22",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A141500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.