Individual provider Active NPI

Paul M Rougraff, MD

  • Ophthalmology Physician
  • Naples, FL
National Provider Identifier
1831176288
Registry record updated May 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME63864 Issued in FL
Practice address
661 Goodlette Rd N
Suite 105
Naples, FL 34102-5609
Phone
(239) 262-6288
Fax
(239) 262-5434
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2009

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 ME63864 FL Primary
Ophthalmology Physician 207W00000X 01041604A IN

Addresses

Primary practice location

661 Goodlette Rd N
Suite 105
Naples, FL 34102-5609

Mailing address

661 Goodlette Rd N
Suite 105
Naples, FL 34102-5609
Phone (239) 262-6288

Other identifiers 1

IdentifierTypeStateIssuer
27485OtherFLBLUE CROSS BLUE SHIELD

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
I20101111000935 FL Practitioner - Ophthalmology 1052429735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Indiana University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Naples Eye Physicians PAGroup PAC ID 8022087741, 2 clinicians

Practice addresses (Care Compare)

661 Goodlette Rd N
Naples, FL 34102-5609
Phone (239) 262-6288

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery192

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01041604AINMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Naples Eye Physicians, PA Ophthalmology CurrentSince Aug 1, 1996 Accepting new patients
Naples Eye Physicians Optical Shop, Inc Past Accepting new patients

Locations

661 Goodlette Rd
Ste 105
Naples, FL 34102
Phone (239) 262-6288

Interoperability endpoints

  • Direct secure messaging: prougraff@hodgeseyecare.direct.eyemdemr.com

Organizations & group practices 2

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243382400000",
    "number": "1831176288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 GOODLETTE RD N",
            "address_2": "SUITE 105",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025609",
            "telephone_number": "239-262-6288",
            "fax_number": "239-262-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 GOODLETTE RD N",
            "address_2": "SUITE 105",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025609",
            "telephone_number": "239-262-6288",
            "fax_number": "239-262-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUGRAFF",
        "first_name": "PAUL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2009-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME63864",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01041604A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "27485",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.