Individual provider Active NPI

Juan Carlos Nieto, M.D.

  • Ophthalmology Physician
  • Dubuque, IA
National Provider Identifier
1780770156
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
38849 Issued in IA
Practice address
2140 John F Kennedy Rd
Fuerste Eye Clinic
Dubuque, IA 52002-3883
Phone
(563) 582-0769
NPI assigned
Oct 5, 2006
Last updated
Jun 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 38849 IA Primary
Ophthalmology Physician 207W00000X 51081-20 WI

Addresses

Primary practice location

2140 John F Kennedy Rd
Fuerste Eye Clinic
Dubuque, IA 52002-3883

Mailing address

2140 John F Kennedy Rd
Fuerste Eye Clinic
Dubuque, IA 52002-3883
Phone (563) 582-0769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20100803000793 IA Practitioner - Ophthalmology 3375676968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Columbia University College of Physicians and Surgeons, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fuerste Eye ClinicGroup PAC ID 0941198063, 7 clinicians

Practice addresses (Care Compare)

2140 JFK Rd
Suite F
Dubuque, IA 52002-3883
Phone (563) 582-0769

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.12 of 100Reported as group
Quality
78
Improvement activities
40
Cost
69.75

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery185

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38849IAMDOphthalmology Physician
51081-20WIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Fuerste Eye Clinic Ophthalmology CurrentSince Jul 1, 2010 Accepting new patients
Fuerste Eye Clinic Ophthalmology PastSince Jul 1, 2010 Accepting new patients

Locations

2140 John F Kennedy Rd
Dubuque, IA 52002
Phone (563) 582-0769

2140 John F Kennedy Rd
Ste F
Dubuque, IA 52002

200 Main St
Guttenberg, IA 52052
Phone (563) 252-1121

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDFFBA
  • Direct secure messaging: jnieto142032@direct.unitypoint.org
  • Direct secure messaging: juan.nieto@feclinic.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1780770156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 JOHN F KENNEDY RD",
            "address_2": "FUERSTE EYE CLINIC",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520023883",
            "telephone_number": "563-582-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 JOHN F KENNEDY RD",
            "address_2": "FUERSTE EYE CLINIC",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520023883",
            "telephone_number": "563-582-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIETO",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "38849",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "51081-20",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.