NPIMap

Individual provider Active NPI

Jacob Diskin, MD

  • Ophthalmology Physician
  • Birmingham, MI
National Provider Identifier
1871053751
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301508632 Issued in MI
Practice address
600 S Adams Rd Ste 200
Birmingham, MI 48009-6863
Phone
(248) 646-3733
Fax
(248) 642-2566
NPI assigned
Mar 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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 4301508632 MI Primary

Addresses

Primary practice location

600 S Adams Rd Ste 200
Birmingham, MI 48009-6863

Mailing address

30150 Telegraph Rd Ste 271
Bingham Farms, MI 48025-4521
Phone (248) 395-5166

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jacobdiskin@clavennavision.direct.eyemdemr.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230509000615 MI Practitioner - Ophthalmology 6709113491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Ophthalmology Specialists PLLCGroup PAC ID 3577557131, 26 clinicians

Practice addresses (Care Compare)

600 S Adams Rd
Suite 200
Birmingham, MI 48009-6863
Phone (248) 646-3733

Hospital & facility affiliations

  • Straith Hospital for Special Surgery Hospital, Southfield, MI, CCN 230071
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Merit-based Incentive Payment System (MIPS)

Final score
86.83 of 100Reported as group
Quality
96.82
Promoting interoperability
99
Improvement activities
40
Cost
60.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery267

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301508632MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Ophthalmology Specialists, PLLC Ophthalmology CurrentSince Jul 3, 2023 Accepting new patients
Michigan Ophthalmology Specialists, PLLC Ophthalmology CurrentSince Jul 3, 2023 Accepting new patients

Locations

30150 Telegraph Rd
Ste 271
Bingham Farms, MI 48025

600 S Adams Rd
Ste 200
Birmingham, MI 48009
Phone (248) 646-3733

33400 6 Mile Rd
Livonia, MI 48152
Phone (734) 421-2020

Interoperability endpoints

  • Direct secure messaging: jacobdiskin@clavennavision.direct.eyemdemr.com

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1871053751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30150 TELEGRAPH RD STE 271",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254521",
            "telephone_number": "248-395-5166",
            "fax_number": "734-743-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S ADAMS RD STE 200",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096863",
            "telephone_number": "248-646-3733",
            "fax_number": "248-642-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISKIN",
        "first_name": "JACOB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-25",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301508632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jacobdiskin@clavennavision.direct.eyemdemr.com",
            "affiliation": "N",
            "address_1": "600 S Adams Rd Ste 200",
            "city": "Birmingham",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480096863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

Verify at the official NPI Registry.