Dwayne B Baharozian, M.D.
Individual provider Active NPI Specialist · Westford, MA
NPI 1669477477 · NPPES record last updated Oct 19, 2012
Key facts
- NPI
- 1669477477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 71936 (MA)
- Practice address
- 5 Cornerstone Square
Suite 101
Westford, MA 01886-3198 - Phone
- (978) 692-1400
- NPI assigned
- Jun 17, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- University of Michigan Medical School, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Eye Care Center and Optical Gallery Inc.
Family Eye Care Center and Optical Gallery, LLC
Practice addresses (Care Compare)
5 Cornerstone SQ
Westford, MA 01886-1483
Phone (978) 692-1400
5 Cornerstone SQ
Suite 101
Westford, MA 01886-1474
Phone (978) 692-1400
Hospital & facility affiliations
- Emerson Hospital -
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 15 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050411001014 | MA | Practitioner - Ophthalmology | 8022055169 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Eye Care Center & Optical Gallery Inc. | Current |
Accepting new patients | |
| Family Eye Care Center & Optical Gallery, LLC | Current |
Accepting new patients | |
| Feccog Lowell LLC | Past |
Accepting new patients |
Locations
5 Cornerstone Sq
Ste 101
Westford, MA 01886
Phone (978) 692-1400
133 Littleton Rd
Ste 201
Westford, MA 01886
Phone (978) 399-0017
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 71936 | MA | Yes |
Addresses
Primary practice location
5 Cornerstone Square
Suite 101
Westford, MA 01886-3198
Mailing address
5 Cornerstone Square
Suite 101
Westford, MA 01886-3198
Phone (978) 692-1400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3070379 | Medicaid | MA | |
| J10428 | Other | MA | BC/BS MA |
Other providers in Westford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.