Omar Razzaque Shakir, MD MBA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

55031 Issued in CT

Practice address

600 W Putnam Ave Lowr Level
Greenwich, CT 06830-6080

Phone

(321) 960-2664

NPI assigned

May 17, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT, NY2 enrollments

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 2

Specialty

Ophthalmology

Education

Albany Medical College of Union University, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Eye Surgeons LLCGroup PAC ID 2264787688, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Greenwich Hospital Association - Hospital, Greenwich, CT, CCN 070018

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: oshakir@ces.intellechartdirect.net

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.

• Coastal Eye Surgeons LLC

  • Ophthalmology Physician
  • Greenwich, CT
  • NPI 1689181083
  Medicare reassignment Care Compare group NPD Authorized official
• Yale University

  • Anesthesiology Physician
  • New Haven, CT
  • NPI 1205822236

  Ophthalmology

  Medicare reassignment NPD
• Coastal Eye Surgery Center PLLC

  • Ambulatory Surgical Clinic/Center
  • Greenwich, CT
  • NPI 1538752514

  Ophthalmology

  NPD Authorized official
• Dry Eye Wellness PLLC

  • Ophthalmology Physician
  • Greenwich, CT
  • NPI 1346125887
  NPD Authorized official
• Yale University

  • Durable Medical Equipment & Medical Supplies
  • Fairfield, CT
  • NPI 1548066962
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Greenwich Hospital

  • General Acute Care Hospital
  • Greenwich, CT
  • NPI 1609846088
  Care Compare affiliation

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1689934127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W PUTNAM AVE LOWR LEVEL",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306080",
            "telephone_number": "203-900-7911",
            "fax_number": "203-900-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W PUTNAM AVE LOWR LEVEL",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306080",
            "telephone_number": "321-960-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKIR",
        "first_name": "OMAR",
        "middle_name": "RAZZAQUE",
        "name_prefix": "Dr.",
        "credential": "MD MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-17",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "291443",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NY",
            "license": "291443",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CT",
            "license": "55031",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "55031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008082958",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oshakir@coastaleye.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct messaging address",
            "address_1": "600 W Putnam Ave Lowr Level",
            "city": "Greenwich",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068306080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paul M Sethi, M.D.
• Susan M Seven-Sky, DC
• Dhara Shah
• Nidhi Yatin Shah
• Devin M Shaheen, NP
• Adam Shapiro
• Suzanne Shapiro, MS, RD, CD-N
• Joan Sandra Shavit, M.S.
• Latasha Shaw, APRN
• Judith F Shea, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.