Highland Retina Associates, LLC

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

01077271A Issued in IN

Legal business name

HIGHLAND RETINA ASSOCIATES, LLC

Practice address

4621 E Margaret Dr
Terre Haute, IN 47803-9303

Phone

(812) 281-2608

Fax

(812) 281-2610

NPI assigned

Sep 22, 2016

Organization subpart

No

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

Authorized official

Name

Alexander A Izad, M.D.NPI 1265591630

Title

Managing Member

Phone

(812) 281-2608

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: mustaoglu@highlandretina.intellechartdirect.net

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexander Arad Izad, MD

  • Retina Specialist (Ophthalmology) Physician
  • Terre Haute, IN
  • NPI 1265591630
  Medicare reassignment Care Compare group NPD Authorized official
• Melih Ustaoglu, MD

  • Retina Specialist (Ophthalmology) Physician
  • Terre Haute, IN
  • NPI 1609405257
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1851840599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 E MARGARET DR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478039303",
            "telephone_number": "812-281-2608",
            "fax_number": "812-281-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4621 E MARGARET DR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478039303",
            "telephone_number": "812-281-2608",
            "fax_number": "812-281-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND RETINA ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "IZAD",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "812-281-2608",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "IN",
            "license": "01077271A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristiana Hickenbotham, PMHNP
• Stephanie M Hicks, OTR
• Megan Elizabeth Higashimura, M.S.
• Mandy Lynn Higginbotham, OTR
• Susan Higginbotham
• Jody Michelle Hill, NP
• Larry R Hill, CRNA
• Marcellus Hill
• Debra Denehie Hills, PMHNP
• Sarah Ann Hillyer, M.S.

• Retina Specialist (Ophthalmology) Physician in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Retina Specialist (Ophthalmology) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.