Active NPI
Edward Kazarian, M.D.
- Ophthalmology Physician
- Worcester, MA
National Provider Identifier
1821173733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 43471
- Practice address
- 591 Lincoln St
Worcester, MA 01605-1901 - Phone
- (508) 852-7522
- Fax
- (508) 854-8271
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 43471 | MA | Primary |
Addresses
Primary practice location
591 Lincoln St
Worcester, MA 01605-1901
Mailing address
591 Lincoln St
Worcester, MA 01605-1901
Phone (508) 852-7522
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7532 | Other | DAVIS VISION | |
| 90510 | Other | FALLON COMMUNITY HEALTH PLAN | |
| 441181899 | Other | RAILROAD MEDICARE | |
| 705171 | Other | TUFTS HEALTH PLAN | |
| NO1800 | Other | BLUE SHIELD OF MASSACHUSETTS | |
| 15471 | Other | HARVARD PILGRIM HEALTH CARE | |
| 2066017 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060314000393 | MA | Practitioner - Ophthalmology | 3173530318 | Practice locations: Worcester, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Saint Louis University School of Medicine, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
591 Lincoln St
Worcester, MA 01605-1901
591 Lincoln St
Worcester, MA 01605-1932
Phone (508) 852-7522
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43471 | MA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umass Memorial Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211846400000",
"number": "1821173733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "591 LINCOLN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016051901",
"telephone_number": "508-852-7522",
"fax_number": "508-854-8271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "591 LINCOLN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016051901",
"telephone_number": "508-852-7522",
"fax_number": "508-854-8271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAZARIAN",
"first_name": "EDWARD",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2008-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MA",
"license": "43471",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "7532",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HEALTH PLAN",
"identifier": "90510",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "441181899",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "705171",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF MASSACHUSETTS",
"identifier": "NO1800",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH CARE",
"identifier": "15471",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2066017",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.