Individual provider Active NPI

Kambiz Negahban, MD

  • Ophthalmology Physician
  • North Easton, MA
National Provider Identifier
1881680544
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
212310 Issued in MA
Practice address
15 Roche Brothers Way
Suite 140
North Easton, MA 02356-1000
Phone
(508) 238-2388
Fax
(508) 238-2073
NPI assigned
Sep 27, 2005
Last updated
Nov 9, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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 212310 MA Primary
Cornea and External Diseases Specialist Physician 207WX0120X 212310 MA

Addresses

Primary practice location

15 Roche Brothers Way
Suite 140
North Easton, MA 02356-1000

Mailing address

75 Cambridge Pkwy
Unit E1202
Cambridge, MA 02142-1229

Other identifiers 5

IdentifierTypeStateIssuer
212310OtherMATUFTS HEALTH PLAN
2716088OtherMAAETNA
152683BMCOtherMAHARVARD PILGRIM HEALTH CA
J24253OtherMABCBS
0151581MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20090112000722 MA Practitioner - Ophthalmology 0749343184 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Boston University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Easton Eye Consultants PCGroup PAC ID 1850455155, 3 clinicians

Practice addresses (Care Compare)

15 Roche Bros Way
Suite 100
North Easton, MA 02356-1000
Phone (508) 238-2388

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery361

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
212310MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston University Eye Associates, Inc. Ophthalmology CurrentSince Apr 11, 2011 Accepting new patients
Easton Eye Consultants, PC Current Accepting new patients
Boston University Eye Associates, Inc. Ophthalmology CurrentSince Apr 11, 2011 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients
Easton Eye Consultants, PC Ophthalmology CurrentSince Dec 1, 2008 Accepting new patients
Boston University Eye Associates, Inc. CurrentSince Apr 11, 2011 Accepting new patients

Locations

850 Harrison Ave
#2
Boston, MA 02118
Phone (617) 414-4020

850 Harrison Ave
#3
Boston, MA 02118
Phone (617) 414-4020

22 Christy Dr
Brockton, MA 02301
Phone (508) 580-4611

15 Roche Brothers Way
Ste 100
North Easton, MA 02356
Phone (508) 238-2388

15 Roche Brothers Way
Ste 140
North Easton, MA 02356
Phone (508) 238-2388

2005 Bay St
Ste 206
Taunton, MA 02780
Phone (508) 822-2266

Interoperability endpoints

  • Direct secure messaging: knegahban11473@direct.bmc.masshiway.net

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, 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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1881680544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 CAMBRIDGE PKWY",
            "address_2": "UNIT E1202",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021421229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ROCHE BROTHERS WAY",
            "address_2": "SUITE 140",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561000",
            "telephone_number": "508-238-2388",
            "fax_number": "508-238-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGAHBAN",
        "first_name": "KAMBIZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "212310",
            "primary": true
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "MA",
            "license": "212310",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "212310",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2716088",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CA",
            "identifier": "152683BMC",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J24253",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0151581",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Easton, MA

Sources for this page

Verify at the official NPI Registry.