Individual provider Active NPI

Michael Roy Oswald, MD

  • Ophthalmology Physician
  • Zachary, LA
National Provider Identifier
1720073224
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
200100584 Issued in NC
Practice address
2421 Church St
Zachary, LA 70791-2710
Phone
(225) 654-1061
Fax
(225) 654-0791
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD.12052R LA
Ophthalmology Physician 207W00000X 200100584 NC Primary

Addresses

Primary practice location

2421 Church St
Zachary, LA 70791-2710

Mailing address

2421 Church St
Zachary, LA 70791-2710
Phone (225) 654-1061

Other identifiers 1

IdentifierTypeStateIssuer
891282KMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20090327000491 NC Practitioner - Ophthalmology 8628015187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Louisiana State University School of Medicine in New Orleans, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asheville Eye Associates PLLCGroup PAC ID 2466405808, 23 clinicians

Practice addresses (Care Compare)

8 Medical Park Dr
Asheville, NC 28803-2493
Phone (828) 258-1586

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
77.7
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery344

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.12052RLAMDOphthalmology Physician
200100584NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asheville Eye Associates PLLC Ophthalmology CurrentSince Sep 12, 2016 Accepting new patients

Locations

8 Medical Park Dr
Asheville, NC 28803
Phone (828) 210-2020

486 Hospital Dr
Clyde, NC 28721
Phone (828) 255-2586

95 Holly Springs Park Dr
Franklin, NC 28734

1196 Skyland Dr
Sylva, NC 28779

Interoperability endpoints

  • Direct secure messaging: moswald@aea.intellechartdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1720073224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 CHURCH ST",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912710",
            "telephone_number": "225-654-1061",
            "fax_number": "225-654-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 CHURCH ST",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912710",
            "telephone_number": "225-654-1061",
            "fax_number": "225-654-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSWALD",
        "first_name": "MICHAEL",
        "middle_name": "ROY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "MD.12052R",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "200100584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891282K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zachary, LA

Sources for this page

Verify at the official NPI Registry.