Individual provider Active NPI

Rebecca Bausell

  • Ophthalmology Physician
  • Baltimore, MD
National Provider Identifier
1841678612
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0086904 Issued in MD
Practice address
419 W Redwood St Ste 470
Baltimore, MD 21201
Phone
(667) 214-1197
NPI assigned
May 13, 2015
Last updated
Jun 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X D0086904 MD Primary

Addresses

Primary practice location

419 W Redwood St Ste 470
Baltimore, MD 21201

Mailing address

419 W Redwood St Ste 470
Baltimore, MD 21201-7009

Other practice location 1

1 Medical Center Blvd
Department of Medicine 3 East
Chester, PA 19013-3902
Phone (610) 874-6114

Other practice location 2

1 Medical Center Blvd
Department of Medicine 3 East
Chester, PA 19013-3902
Phone (610) 874-6114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA2 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

Enrollment IDStateProvider typePAC IDDetails
I20190625000137 MD Practitioner - Ophthalmology 0749514883 Reassigns benefits to 1 organization
I20200617002224 PA Practitioner - Ophthalmology 0749514883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Missouri, Columbia School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware Valley Vision Associates Group Practice, LLCGroup PAC ID 6002833753, 14 clinicians

Practice addresses (Care Compare)

1018 W 9TH Ave
King of Prussia, PA 19406-1225
Phone (610) 337-1580

2020 Sullivan TRL
Easton, PA 18040-8354
Phone (856) 316-4600

Merit-based Incentive Payment System (MIPS)

Final score
90.18 of 100Reported as group
Quality
93.25
Promoting interoperability
97
Improvement activities
40
Cost
76.51

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery298

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0086904MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Eye Associates, P.a. CurrentSince Jul 7, 2019 Accepting new patients
University of Maryland Eye Associates, P.a. Ophthalmology CurrentSince Jul 7, 2019 Accepting new patients
Delaware Valley Vision Associates Group Practice, LLC Ophthalmology CurrentSince Aug 10, 2020 Accepting new patients
Ludwick Eye Center, LTD Ophthalmology Past Accepting new patients
Erie Retinal Surgery, Inc. Ophthalmology Past Accepting new patients

Locations

419 W Redwood St
Ste 420
Baltimore, MD 21201
Phone (410) 328-6533

419 W Redwood St
Ste 470
Baltimore, MD 21201
Phone (667) 214-1197

2020 Sullivan Trl
Easton, PA 18040
Phone (610) 258-6666

1018 W 9th Ave
Ste 100
King of Prussia, PA 19406
Phone (610) 337-1580

200 Mall Blvd
Kng of Prussa, PA 19406
Phone (610) 337-1580

576 Centerville Rd
Lancaster, PA 17601
Phone (717) 201-3238

420 W Linfield Trappe Rd
Ste 3300
Royersford, PA 19468
Phone (610) 495-2535

965 Baltimore Pike
Ste 6
Springfield, PA 19064
Phone (610) 328-7500

865 Easton Rd
Ste 240
Warrington, PA 18976
Phone (215) 675-4992

744 Lancaster Ave
Wayne, PA 19087
Phone (215) 244-7400

Interoperability endpoints

  • Direct secure messaging: rbausell640229@direct.umm.edu
  • Direct secure messaging: rebecca.bausell.p6@direct.omnieyeservices.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1841678612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 W REDWOOD ST STE 470",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212017009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W REDWOOD ST STE 470",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21201",
            "telephone_number": "667-214-1197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Blvd",
            "address_2": "Department of Medicine 3 East",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "PA",
            "postal_code": "190133902",
            "country_code": "US",
            "telephone_number": "610-874-6114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Blvd",
            "address_2": "Department of Medicine 3 East",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "PA",
            "postal_code": "190133902",
            "country_code": "US",
            "telephone_number": "610-874-6114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUSELL",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-13",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0086904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.