Stavros N. Moysidis, M.D.

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

A136463 Issued in CA

Practice address

5400 Balboa Blvd Ste 126
Encino, CA 91316

Phone

(818) 578-0004

Fax

(818) 578-0002

NPI assigned

Jun 20, 2013

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in CA

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

University of Miami, LM Miller School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

A Center for Visioncare Surgical and Medical GroupGroup PAC ID 8921049594, 7 clinicians

Paul P Nazemi MD IncGroup PAC ID 8729159173, 5 clinicians

Retina Los AngelesGroup PAC ID 7315319191, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint John'S Health Center Hospital, Santa Monica, CA, CCN 050290

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: smoysidis@retinala.intellechartdirect.net

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.

• Retina Los Angeles

  • Retina Specialist (Ophthalmology) Physician
  • Encino, CA
  • NPI 1134845837
  Medicare reassignment Care Compare group NPD Authorized official
• A Center for Visioncare Surgical & Medical Group

  • Ophthalmology Physician
  • Burbank, CA
  • NPI 1912058728
  Medicare reassignment Care Compare group NPD
• Paul P Nazemi MD Inc

  • Ophthalmology Physician
  • Thousand Oaks, CA
  • NPI 1467611558
  Medicare reassignment Care Compare group NPD
• Providence Saint John'S Health Center

  • General Acute Care Hospital
  • Santa Monica, CA
  • NPI 1124026273
  NPD (past)
• Valley Retina Associates Medical Group, P.C.

  • Ophthalmology Physician
  • Encino, CA
  • NPI 1548312838
  NPD (past)
• Alliance Physicians Inc

  • Family Medicine Physician
  • Kettering, OH
  • NPI 1437125572

  Internal Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Providence Saint John'S Health Center

  • General Acute Care Hospital
  • Santa Monica, CA
  • NPI 1124026273
  Care Compare affiliation

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1780023929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD STE 126",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165202",
            "telephone_number": "818-578-0004",
            "fax_number": "818-578-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD STE 126",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91316",
            "telephone_number": "818-578-0004",
            "fax_number": "818-578-0002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2031 W Alameda Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915062960",
            "country_code": "US",
            "telephone_number": "818-762-0647 x106",
            "fax_number": "818-754-5349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2820 Townsgate Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Westlake Village",
            "state": "CA",
            "postal_code": "913613069",
            "country_code": "US",
            "telephone_number": "805-497-7976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 Solar Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930362642",
            "country_code": "US",
            "telephone_number": "805-497-7976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOYSIDIS",
        "first_name": "STAVROS",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-20",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A136463",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "A136463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stavros.moysidis@retinalosangeles.com",
            "affiliation": "Y",
            "affiliationName": "Retina Los Angeles",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5400 Balboa Blvd Ste 126",
            "city": "Encino",
            "state": "CA",
            "country_code": "US",
            "postal_code": "91316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.RetinaLosAngeles.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "5400 Balboa Blvd Ste 126",
            "city": "Encino",
            "state": "CA",
            "country_code": "US",
            "postal_code": "91316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Retina Specialist (Ophthalmology) Physician in Encino, CA
• Providers in Encino, CA by specialty
• Retina Specialist (Ophthalmology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.