Michael Jose Bautista, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

69814 Issued in CT

Practice address

129 Kings Hwy N
Westport, CT 06880-2438

Phone

(203) 227-4113

Fax

(203) 226-6718

NPI assigned

Apr 6, 2016

Last updated

Apr 26, 2022By the provider in NPPES

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 CT

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

Albany Medical College of Union University, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Richard a Fichman MD PCGroup PAC ID 8123915675, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.46 of 100Reported as group

Quality

92

Improvement activities

40

Cost

75.53

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: michael.bautista.p7@direct.dact.nextgenshare.com

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.

• Richard a. Fichman, MD PC

  dba Sight MD CT

  • Ophthalmology Physician
  • Norwalk, CT
  • NPI 1851406276
  Medicare reassignment Care Compare group NPD
• Doctor & Associates, PC

  • Ophthalmology Physician
  • Westport, CT
  • NPI 1053599571
  Medicare reassignment NPD
• Richard a Fichman MD PC

  dba Fichman Eye Center

  • Optician
  • Manchester, CT
  • NPI 1053591214
  NPD

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1689038671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 KINGS HWY N",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068802438",
            "telephone_number": "203-227-4113",
            "fax_number": "203-226-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 KINGS HWY N",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068802438",
            "telephone_number": "203-227-4113",
            "fax_number": "203-226-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "MICHAEL",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-06",
        "last_updated": "2022-04-26",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "69814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James D Basch, LMSW
• Vitoria Basora, APRN
• Michele Elizabeth Battey, LCSW
• Heather B Bauer, RD
• David H. Baum, M.D.
• Bay Street Pediatrics Assoc.
• Bayada Home Health Care, Inc.
• Be Well Mental Health Services, LLC
• Sarah Becker, MS, RD
• Justine Carol Bedocs, OTR/L

• Ophthalmology Physician in Westport, CT
• Providers in Westport, CT by specialty
• Ophthalmology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.