Active NPI
Kourosh Nazari, M.D.
- Ophthalmology Physician
- Deland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME80448
- Practice address
- 801 N Stone St
Deland, FL 32720-3255 - Phone
- (386) 734-4431
- Fax
- (386) 738-1045
- NPI assigned
- Oct 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME80448 | FL | Primary |
Addresses
Primary practice location
801 N Stone St
Deland, FL 32720-3255
Mailing address
801 N Stone St
Deland, FL 32720-3255
Phone (386) 734-4431
Other practice location 1
5530 Wisconsin Ave Ste 1209
Chevy Chase, MD 20815-4301
Phone (301) 272-9930
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 265118100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Medical College of Georgia School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2002 Professional CT
Martinsburg, WV 25401-8808
Phone (304) 267-4273
3025 Hamaker CT
Suite 101
Fairfax, VA 22031-2229
Phone (703) 876-9630
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.53 of 100
- Quality
- 92.86
- Improvement activities
- 40
- Cost
- 77.97
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.62 of 100
- Quality
- 92.09
- Improvement activities
- 40
- Cost
- 75.96
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1309 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martinsburg Eye Associates PLLC | Ophthalmology | Current | Accepting new patients |
| Todd Alan Goodglick, MD, PC | Ophthalmology | Current | Accepting new patients |
| Cumberland Valley Retina Consultants PC | Ophthalmology | Current | Accepting new patients |
| James W Mattern OD, PLLC | Ophthalmology | Current | Accepting new patients |
| Vision One Inc | Past | Accepting new patients | |
| Parker Eye Center LLC | Ophthalmology | Past | Accepting new patients |
| Florida Eye Clinic P a | Past | Accepting new patients | |
| Orlando Ophthalmology Surgery Center LLC | Past | Accepting new patients | |
| Central Florida Cataract and Laser Surgery Center, Inc. | Ophthalmology | Past | Accepting new patients |
| Florida Eye Clinic P a | Ophthalmology | Past | Accepting new patients |
Locations
5530 Wisconsin Ave
Ste 1209
Chevy Chase, MD 20815
Phone (202) 744-2885
3025 Hamaker Ct
Ste 101
Fairfax, VA 22031
Phone (703) 876-9630
2002 Professional Ct
Martinsburg, WV 25401
Phone (304) 267-4273
Interoperability endpoints
- knazari@mea.intellechartdirect.net
- knazari@capitaleyeconsultants.intellechartdirect.net
- knazari355663@direct.wvuhsdirect.com
Organizations & group practices 10
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.
-
- Ophthalmology Physician
- Martinsburg, WV
- NPI 1467538967
-
- Retina Specialist (Ophthalmology) Physician
- Hagerstown, MD
- NPI 1467429647
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Chevy Chase, MD
- NPI 1720704869
Ophthalmology
-
- Ophthalmologic Surgery Clinic/Center
- Deland, FL
- NPI 1508063884
Ophthalmology
-
- Optometrist
- Titusville, FL
- NPI 1578537270
-
- Ophthalmology Physician
- Clermont, FL
- NPI 1154872968
-
- Ambulatory Surgical Clinic/Center
- Orlando, FL
- NPI 1811932916
-
- Ophthalmology Physician
- Orlando, FL
- NPI 1083842173
-
- Optometrist
- Daytona Beach, FL
- NPI 1952314346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1881685741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 N STONE ST",
"city": "DELAND",
"state": "FL",
"postal_code": "327203255",
"telephone_number": "386-734-4431",
"fax_number": "386-738-1045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 N STONE ST",
"city": "DELAND",
"state": "FL",
"postal_code": "327203255",
"telephone_number": "386-734-4431",
"fax_number": "386-738-1045"
}
],
"practiceLocations": [
{
"address_1": "5530 Wisconsin Ave Ste 1209",
"address_purpose": "LOCATION",
"city": "Chevy Chase",
"state": "MD",
"postal_code": "208154301",
"country_code": "US",
"telephone_number": "301-272-9930",
"fax_number": "240-556-0379",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAZARI",
"first_name": "KOUROSH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2023-03-07",
"certification_date": "2020-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME80448",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "265118100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Deland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.