Individual provider Active NPI

Aly Reza Sheraly, MD

  • Ophthalmology Physician
  • Winter Haven, FL
National Provider Identifier
1770715484
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME118749 Issued in FL
Practice address
407 Avenue K SE
Winter Haven, FL 33880-4126
Phone
(863) 294-3504
NPI assigned
Aug 13, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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 ME118749 FL Primary

Addresses

Primary practice location

407 Avenue K SE
Winter Haven, FL 33880-4126

Mailing address

407 Avenue K SE
Winter Haven, FL 33880-4126
Phone (863) 294-3504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20140402000303 FL Practitioner - Ophthalmology 0446493480 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of Ny Upstate Medical University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocala Eye PAGroup PAC ID 3375503402, 23 clinicians

Practice addresses (Care Compare)

3300 W Lake Mary Blvd
Suite 210
Lake Mary, FL 32746-3499
Phone (321) 234-7424

4414 SW College Rd
Unit 1462
Ocala, FL 34474-2701
Phone (352) 622-5183

Merit-based Incentive Payment System (MIPS)

Final score
88.15 of 100Reported as group
Quality
85.3
Promoting interoperability
100
Improvement activities
40
Cost
75.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery157

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME118749FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando North Eye Clinic, LLC Ophthalmology CurrentSince Aug 16, 2022 Accepting new patients
Ocala Eye PA Ophthalmology CurrentSince Sep 1, 2023 Accepting new patients
RSM Plastic Surgery, PA PastSince Aug 25, 2019 Accepting new patients
Ocala Eye Optical, Inc PastSince May 1, 2024 Accepting new patients

Locations

3300 W Lake Mary Blvd
Ste 210
Lake Mary, FL 32746
Phone (321) 234-7424

4414 SW College Rd
Unit 1462
Ocala, FL 34474
Phone (352) 694-8972

1950 Laurel Manor Dr
Ste 250
The Villages, FL 32162

4508 Warm Springs Ave
Wildwood, FL 34785

Interoperability endpoints

  • Direct secure messaging: asheraly@onec.intellechartdirect.net
  • Direct secure messaging: alyreza.sheraly.p1@direct.ocalaeye.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: aly.sheraly@esmf.direct.eyemdemr.com
  • Direct secure messaging: alyreza.sheraly.p2@direct.ocalaeye.nextgenshare.com

Organizations & group practices 4

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": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1770715484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 AVENUE K SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804126",
            "telephone_number": "863-294-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 AVENUE K SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804126",
            "telephone_number": "863-294-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERALY",
        "first_name": "ALY",
        "middle_name": "REZA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-13",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME118749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.