Carissa Lynn Klaas I, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD2022-0402 Issued in NM

Practice address

5645 Mockingbird LN
Greenwood, IN 46143-6246

Phone

(317) 692-1249

NPI assigned

Jul 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN, NM2 enrollments

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 2

Specialty

Ophthalmology

Education

Indiana University School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Klaas Medical

  • Ophthalmology Physician
  • Indianapolis, IN
  • NPI 1932805405
  Medicare reassignment NPD
• Pankratz Medical LLC

  • Ophthalmology Physician
  • Columbus, IN
  • NPI 1588192157
  Medicare reassignment NPD
• Unm Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Albuquerque, NM
  • NPI 1831218627
  Medicare reassignment NPD
• Pankratz Eye Institute, LLC

  • Ambulatory Surgical Clinic/Center
  • Columbus, IN
  • NPI 1154497964
  NPD
• Pankratz Eye Institute, LLC

  • Ophthalmology Physician
  • Columbus, IN
  • NPI 1871530642
  NPD
• Altru Health System

  • Clinic/Center
  • Grand Forks, ND
  • NPI 1043309552
  NPD
• Unm Medical Group, Inc.

  • Community/Retail Pharmacy
  • Albuquerque, NM
  • NPI 1417330044
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692

  Ophthalmology

  NPD (past)
• Marcia J. Monroe,O.D.,Inc

  • Optometrist
  • Seymour, IN
  • NPI 1346422474
  NPD (past)
• Vitreo Retinal Center PC

  • Ophthalmology Physician
  • Evansville, IN
  • NPI 1841333036
  NPD (past)
• South Texas Retina Consultants, LLP

  • Retina Specialist (Ophthalmology) Physician
  • Corpus Christi, TX
  • NPI 1548217433
  NPD (past)

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1740488378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5645 MOCKINGBIRD LN",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461436246",
            "telephone_number": "317-692-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 MOCKINGBIRD LN",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461436246",
            "telephone_number": "317-692-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAAS",
        "first_name": "CARISSA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "MD2022-0502",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "MD2022-0402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740488378",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jewel Kirkwood, RBT
• Cristina Kirtman, RBT
• Chelsi Kitchen
• Weston Riley Kitley, MD
• Sydney Anne Kizer, PHARMD
• Klamoprime Medical LLC
• Klarity P.C.
• Lilli A Kleinschmidt
• Bradey Thomas Kleman, M.D
• Kayla Klemmensen

• Ophthalmology Physician in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Ophthalmology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.