Individual provider Active NPI

Thomas G Ward, D.O.

  • Retina Specialist (Ophthalmology) Physician
  • Brooksville, FL
National Provider Identifier
1609892595
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
OS04712 Issued in FL
Practice address
11373 Cortez Blvd
Ste 400
Brooksville, FL 34613-5414
Phone
(352) 597-2604
Fax
(352) 596-0520
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X OS04712 FL Primary

Addresses

Primary practice location

11373 Cortez Blvd
Ste 400
Brooksville, FL 34613-5414

Mailing address

11373 Cortez Blvd
Ste 400
Brooksville, FL 34613-5414
Phone (352) 597-2604

Other practice location 1

212 S Apopka Ave
Inverness, FL 34452-4803
Phone (352) 597-2604

Other identifiers 3

IdentifierTypeStateIssuer
1609892595OtherFLMEDICRE INDIVIDUAL NPI
035201201MedicaidFL
1194714485OtherFLMEDICARE GROUP NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tward@vrsllcintellechartdirect.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
West Virginia School of Osteopathic Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11373 Cortez Blvd
Suite 400
Brooksville, FL 34613-5406

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS04712FLMDRetina Specialist (Ophthalmology) Physician

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: tward@vrsllc.intellechartdirect.net
  • Direct secure messaging: tward@rgfla.intellechartdirect.net

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1609892595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11373 CORTEZ BLVD",
            "address_2": "STE 400",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135414",
            "telephone_number": "352-597-2604",
            "fax_number": "352-596-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11373 CORTEZ BLVD",
            "address_2": "STE 400",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135414",
            "telephone_number": "352-597-2604",
            "fax_number": "352-596-0520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 S Apopka Ave",
            "address_purpose": "LOCATION",
            "city": "Inverness",
            "state": "FL",
            "postal_code": "344524803",
            "country_code": "US",
            "telephone_number": "352-597-2604",
            "fax_number": "352-596-0520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "THOMAS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "OS04712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICRE INDIVIDUAL NPI",
            "identifier": "1609892595",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035201201",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NPI",
            "identifier": "1194714485",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tward@vrsllcintellechartdirect.net",
            "affiliation": "N",
            "endpointDescription": "Dr. Ward's secure contact",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "11373 Cortez Blvd",
            "address_2": "Ste 400",
            "city": "Brooksville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346135414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

Verify at the official NPI Registry.