Individual provider Active NPI

Moiz M. Carim, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Wyomissing, PA
National Provider Identifier
1720083330
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
MD027009E Issued in PA
Practice address
2630 Westview Dr
Wyomissing, PA 19610-1130
Phone
(610) 376-1981
Fax
(610) 376-3153
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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 MD027009E PA
Retina Specialist (Ophthalmology) Physician 207WX0107X MD027009E PA Primary

Addresses

Primary practice location

2630 Westview Dr
Wyomissing, PA 19610-1130

Mailing address

2630 Westview Dr
Wyomissing, PA 19610-1130
Phone (610) 376-1981

Other identifiers 1

IdentifierTypeStateIssuer
0008831410001MedicaidPA

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL mcarim@cer.ecldirect.net Health Information Exchange (HIE)
CONNECT URL mcarim@cer.ecldirect.net Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20081111000446 PA Practitioner - Ophthalmology 9931164050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.47 of 100Reported as group
Quality
97.63
Improvement activities
40
Cost
78.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD027009EPAMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State Hill Surgicenter LLC CurrentSince Jan 1, 2008 Accepting new patients
Carim Eye and Retina Center LTD. P.C. Ophthalmology CurrentSince Aug 26, 1982 Accepting new patients
Carim Eye and Retina Center LTD. P.C. Ophthalmology CurrentSince Aug 26, 1982 Accepting new patients

Locations

1981 State Hill Rd
#M
Wyomissing, PA 19610
Phone (610) 376-1981

2630 Westview Dr
Wyomissing, PA 19610
Phone (610) 376-1981

Organizations & group practices 3

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1720083330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 WESTVIEW DR",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101130",
            "telephone_number": "610-376-1981",
            "fax_number": "610-376-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 WESTVIEW DR",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101130",
            "telephone_number": "610-376-1981",
            "fax_number": "610-376-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARIM",
        "first_name": "MOIZ",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD027009E",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "PA",
            "license": "MD027009E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008831410001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mcarim@cer.ecldirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2630 Westview Dr",
            "city": "Wyomissing",
            "state": "PA",
            "country_code": "US",
            "postal_code": "196101130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mcarim@cer.ecldirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2630 Westview Dr",
            "city": "Wyomissing",
            "state": "PA",
            "country_code": "US",
            "postal_code": "196101130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.