Kidane H. Assefa, MD
Individual provider Active NPI Ophthalmology Physician · St. Thomas, VI
NPI 1720185184 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1720185184
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 1290 (VI)
- Practice address
- The Eye Clinic
St. Thomas, VI 00803 - Phone
- (340) 774-1531
- Fax
- (340) 774-3704
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- State University of New York at Stony Brook, School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9151 Estate Thomas
St Thomas, VI 00802-2617
Phone (340) 774-1531
9151 Foothills Prof BLD
Suite 107
St. Thomas, VI 00802-2711
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 14 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VI
- 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 |
|---|---|---|---|---|
| I20041013001278 | VI | Practitioner - Ophthalmology | 7810957867 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1290 | VI | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myrah Keating Smith Community Health Center | Past | Accepting new patients | |
| VRF Eye Specialty Group, PLC | Ophthalmology | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 1290 | VI | Yes |
Addresses
Primary practice location
The Eye Clinic
St. Thomas, VI 00803
Mailing address
PO Box 302682
St Thomas, VI 00803-2682
Phone (340) 775-6552
Other providers in St. Thomas, VI
- Tygue Andrew Arvidson
- Tylur Dayne Arvidson
- Ascent Medical LLC
- Ashley Moreau OT, LLC
- Aya Assebian
- Ariana Athanase
- Rabindranath Bachan
- Brian Carlos Bacot
- Zeeshan Muhammad Baig
- Hannah Stephanie Ballas
All providers in St. Thomas, VI · Ophthalmology Physician in U.S. Virgin Islands
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. 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.