Mohammad Reza Rafieetary, O.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

OD1200 Issued in TN

Practice address

1432 Kimbrough Rd
Germantown, TN 38138-2405

Phone

(901) 767-4499

Fax

(901) 761-0727

NPI assigned

May 24, 2005

Last updated

Jan 23, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS, TN, AR3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Optometry

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Charles Retina Institute PCGroup PAC ID 9830002583, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.36 of 100Reported as group

Quality

82.73

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mrafieetary599380@direct.bmhcc.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Charles Retina Institute PC

  • Specialist
  • Germantown, TN
  • NPI 1477556306

  AR, MS

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1750384541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 KIMBROUGH RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382405",
            "telephone_number": "901-767-4499",
            "fax_number": "901-761-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 KIMBROUGH RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382405",
            "telephone_number": "901-767-4499",
            "fax_number": "901-761-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFIEETARY",
        "first_name": "MOHAMMAD",
        "middle_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "OD1200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0169638",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina Marie Quirolgico, M.D.
• Antonio C Quiroz, M.D.
• R H Surgical Solutions LLC
• Lisa Renee Rader, C.N.P.
• Adam Rae, PTA
• Salar Rafieetary, MD
• Christie Lynn Ragan, SA
• Nidal Rahal, M.D.
• Lauren K Rainbolt, FNP
• Joel Mukesh Raja

• Specialist in Germantown, TN
• Providers in Germantown, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.