Tod Mathew Haller, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

250274 Issued in NY

Practice address

3220 Fairfield Ave Ste C1
Bronx, NY 10463-3240

Phone

(718) 432-2000

Fax

(718) 432-2001

NPI assigned

May 12, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Ophthalmology

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Riverdale Ophthalmology PLLCGroup PAC ID 8022368356, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

98.47

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Riverdale Ophthalmology PLLC

  • Ophthalmology Physician
  • Bronx, NY
  • NPI 1083114375
  Medicare reassignment Care Compare group NPD Authorized official
• Riverdale Ophthalmology, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Yonkers, NY
  • NPI 1871298240
  NPD Authorized official

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1740457548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 FAIRFIELD AVE STE C1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633240",
            "telephone_number": "718-432-2000",
            "fax_number": "718-432-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 FAIRFIELD AVE STE C1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633240",
            "telephone_number": "718-432-2000",
            "fax_number": "718-432-2001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Tuckahoe Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107105716",
            "country_code": "US",
            "telephone_number": "914-961-2700",
            "fax_number": "914-961-0369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALLER",
        "first_name": "TOD",
        "middle_name": "MATHEW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-12",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "250274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Millicent Hall
• Nadine Andrea Hall, RN
• Nelson Merritt Hall, D.C.
• Sharon Antoinette Hall
• Victoria Hall
• Leah Halliburton, CNM
• Jack Daniel Halligan, MD
• Shireen Hallim
• Katya Hallinan
• Alejandro Javier Hallo Carrasco, M.D.

• Ophthalmology Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.