Individual provider Active NPI

Karl R Olsen, MD

  • Ophthalmology Physician
  • Monroeville, PA
National Provider Identifier
1861446205
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD042998L Issued in PA
Practice address
300 Oxford Dr
Ste 300
Monroeville, PA 15146-2361
Phone
(412) 683-5300
Fax
(412) 349-8655
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD042998L PA Primary

Addresses

Primary practice location

300 Oxford Dr
Ste 300
Monroeville, PA 15146-2361

Mailing address

300 Oxford Dr
Ste 300
Monroeville, PA 15146-2361
Phone (412) 683-5300

Other identifiers 1

IdentifierTypeStateIssuer
0012228450002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 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
I20101105000214 PA Practitioner - Ophthalmology 7315913944 Reassigns benefits to 1 organization
I20220915001059 WV Practitioner - Ophthalmology 7315913944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD042998LPAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Vitreous Consultants Inc. Ophthalmology CurrentSince Dec 3, 1990 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

969 Eisenhower Blvd
Johnstown, PA 15904
Phone (412) 683-5151

300 Oxford Dr
Ste 300
Monroeville, PA 15146
Phone (412) 683-5300

3501 Forbes Ave
Ste 510
Pittsburgh, PA 15213
Phone (412) 683-5151

3501 Forbes Ave
Ste 500
Pittsburgh, PA 15213
Phone (412) 683-5300

221 Cabela Dr
Triadelphia, WV 26059
Phone (412) 349-8655

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: karl.olsen@direct.rvc.nextgenshare.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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1861446205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 OXFORD DR",
            "address_2": "STE 300",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462361",
            "telephone_number": "412-683-5300",
            "fax_number": "412-349-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OXFORD DR",
            "address_2": "STE 300",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462361",
            "telephone_number": "412-683-5300",
            "fax_number": "412-349-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "KARL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD042998L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012228450002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.