Elizabeth A Dale, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD454366 Issued in PA

Practice address

100 Presidential Blvd Ste 200
Bala Cynwyd, PA 19004-1108

Phone

(484) 434-2700

Fax

(484) 434-2793

NPI assigned

Jun 18, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 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

Columbia University College of Physicians and Surgeons, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ophthalmic Partners PCGroup PAC ID 7416368667, 13 clinicians

Wills Eye Ophthalmology Clinic, IncGroup PAC ID 9133025166, 146 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wills Eye Hospital Hospital, Philadelphia, PA, CCN 390331

Merit-based Incentive Payment System (MIPS)

Final score

82.11 of 100Reported as group

Quality

78.1

Promoting interoperability

89

Improvement activities

40

Cost

71.45

Merit-based Incentive Payment System (MIPS)

Final score

87.34 of 100Reported as group

Quality

80.85

Promoting interoperability

100

Improvement activities

40

Cost

76.95

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: elizabeth.dale.p1@direct.oppdoctors.nextgenshare.com

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.

• Ophthalmic Partners PC

  • Ophthalmology Physician
  • Bala Cynwyd, PA
  • NPI 1114531688

  NJ

  Medicare reassignment Care Compare group NPD
• Wills Eye Ophthalmology Clinic, Inc

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1184624009
  Medicare reassignment Care Compare group NPD
• Ophthalmic Partners PC

  • Ophthalmology Physician
  • Marlton, NJ
  • NPI 1538761382
  NPD
• Vantage Eyecare, LLC

  • Optometrist
  • Bala Cynwyd, PA
  • NPI 1851809362
  NPD (past)
• Ophthalmic Partners of Delaware, PA

  • Ophthalmology Physician
  • Wilmington, DE
  • NPI 1750355715
  NPD (past)
• University of Miami

  • Ambulatory Surgical Clinic/Center
  • Palm Beach Gardens, FL
  • NPI 1346317039
  NPD (past)

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

• City of Phila Trustee Acting by the BRD of Dir of City Trusts

  • Special Hospital
  • Philadelphia, PA
  • NPI 1881899284
  Care Compare affiliation

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1811218332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PRESIDENTIAL BLVD",
            "address_2": "SUITE 200",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041108",
            "telephone_number": "484-434-2700",
            "fax_number": "484-434-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PRESIDENTIAL BLVD STE 200",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041108",
            "telephone_number": "484-434-2700",
            "fax_number": "484-434-2793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 E 8th Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "King Of Prussia",
            "state": "PA",
            "postal_code": "194061354",
            "country_code": "US",
            "telephone_number": "484-434-2700",
            "fax_number": "610-660-0419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "840 Walnut St Ste 920",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191075109",
            "country_code": "US",
            "telephone_number": "484-434-2700",
            "fax_number": "610-660-0419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "319 W State St",
            "address_purpose": "LOCATION",
            "city": "Media",
            "state": "PA",
            "postal_code": "190632615",
            "country_code": "US",
            "telephone_number": "610-566-1227",
            "fax_number": "610-566-6888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "775 Route 70 E Ste F180",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080532367",
            "country_code": "US",
            "telephone_number": "856-596-1601",
            "fax_number": "856-983-0396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALE",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-18",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA09688200",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME119151",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "NJ",
            "license": "25MA09688200",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "PA",
            "license": "MD454366",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD454366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0469068",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.