Amr Kouchouk

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A137407 Issued in CA

Practice address

22525 Maple Ave
Suite, 100
Torrance, CA 90505-2700

Phone

(310) 803-9633

Fax

(310) 803-9634

NPI assigned

Jun 11, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Ophthalmology

Education

Virginia Commonwealth University, School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

79.08 of 100Reported as group

Quality

46.85

Promoting interoperability

74

Improvement activities

40

Cost

71.74

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/doctorsoft_advancedretinaassociates

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.

• Hollywood Eye Associates a Professional Corporation Inc

  • Ophthalmology Physician
  • Bakersfield, CA
  • NPI 1205609401
  Medicare reassignment NPD Authorized official
• Advanced Retina Associates Medical Group, Inc

  • Ophthalmology Physician
  • Reseda, CA
  • NPI 1730292541
  Medicare reassignment NPD
• Golden State Eye Medical Group Inc

  • Ophthalmology Physician
  • Bakersfield, CA
  • NPI 1205847746
  Medicare reassignment NPD
• Serra Community Medical Clinic Inc

  • Adult Medicine Physician
  • Sun Valley, CA
  • NPI 1275545725

  Ophthalmology

  Medicare reassignment NPD
• Specialty Eye Care Medical Center, Inc.

  • Ophthalmology Physician
  • Glendale, CA
  • NPI 1932137601
  Medicare reassignment NPD
• Serra Community Medical Clinic, Inc.

  • Internal Medicine Physician
  • Pacoima, CA
  • NPI 1477134302
  NPD
• Brand Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Glendale, CA
  • NPI 1437537107
  NPD (past)
• Scripps Health

  • General Acute Care Hospital
  • La Jolla, CA
  • NPI 1841277704
  NPD (past)
• Specialty Eye Care Medical Center, Inc.

  • Ophthalmology Physician
  • Glendale, CA
  • NPI 1346194693
  NPD (past)
• Madison Parish Hospital Service District

  • Critical Access Hospital
  • Tallulah, LA
  • NPI 1093834608
  NPD (past)

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453075200000",
    "number": "1639499718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 E 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058506",
            "telephone_number": "714-399-0678",
            "fax_number": "714-276-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22525 MAPLE AVE",
            "address_2": "SUITE, 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052700",
            "telephone_number": "310-803-9633",
            "fax_number": "310-803-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUCHOUK",
        "first_name": "AMR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-11",
        "last_updated": "2016-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A137407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erol M Kosar, MD
• Izzet Kosar
• Hayley Koskela, RPT
• Aditya Ashvinbhai Kotecha, M.D.
• Lana Hope Kotsiris
• Hala Koudsi, M.D.
• Roselie Kounlavouth, MAED, BCBA
• Clement Jerry Kovar II, M.D.
• Mikhail Kovshilovsky, M.D.
• Christopher Kiyoshi Koyanagi, MPT

• Ophthalmology Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; 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.