Individual provider Active NPI

Barry Kusman, M.D.

  • Ophthalmology Physician
  • Tucson, AZ
National Provider Identifier
1740362359
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
12771 Issued in AZ
Practice address
1745 E Skyline Dr Ste 175
Tucson, AZ 85718-1163
Phone
(520) 742-1900
Fax
(520) 742-1170
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 12771 AZ Primary

Addresses

Primary practice location

1745 E Skyline Dr Ste 175
Tucson, AZ 85718-1163

Mailing address

1745 E Skyline Dr Ste 175
Tucson, AZ 85718-1163
Phone (520) 742-5500

Other identifiers 1

IdentifierTypeStateIssuer
239112MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20100825000518 AZ Practitioner - Ophthalmology 9335039346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.53 of 100Reported as group
Quality
100
Improvement activities
40
Cost
81.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12771AZMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Sight, PC CurrentSince Jul 23, 2010 Accepting new patients
Tucson Eye Physicians PLLC Ophthalmology CurrentSince Apr 1, 2018 Accepting new patients

Locations

13395 N Marana Main St
Marana, AZ 85653
Phone (520) 616-6200

1209 W Target Range Rd
Ste 102
Nogales, AZ 85621
Phone (520) 287-4020

5632 E 5th St
Tucson, AZ 85711
Phone (520) 584-8888

1745 E Skyline Dr
Ste 175
Tucson, AZ 85718
Phone (520) 742-1900

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1740362359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 E SKYLINE DR STE 175",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857181163",
            "telephone_number": "520-742-5500",
            "fax_number": "520-742-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 E SKYLINE DR STE 175",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857181163",
            "telephone_number": "520-742-1900",
            "fax_number": "520-742-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSMAN",
        "first_name": "BARRY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "12771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "239112",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.