Individual provider Active NPI

Raffi David Karapetian, D.O.

  • Ophthalmology Physician
  • Mount Pleasant, WI
National Provider Identifier
1881854412
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
57183-21 Issued in WI
Practice address
5802 Washington Ave
Ste 102
Mount Pleasant, WI 53406-4050
Phone
(262) 886-9100
Fax
(262) 886-9130
NPI assigned
Jun 17, 2008
Last updated
Jan 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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 57183-21 WI Primary

Addresses

Primary practice location

5802 Washington Ave
Ste 102
Mount Pleasant, WI 53406-4050

Mailing address

5802 Washington Ave
Ste 102
Mount Pleasant, WI 53406-4050
Phone (262) 886-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20121002000420 WI Practitioner - Ophthalmology 8022267343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Eye SCGroup PAC ID 7214341429, 2 clinicians

Practice addresses (Care Compare)

6127 Green Bay Rd
Suite 300
Kenosha, WI 53142-2946
Phone (262) 654-0726

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.31 of 100Reported as group
Quality
100
Improvement activities
40
Cost
71.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery511

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Eye SC Ophthalmology CurrentSince Dec 1, 2020 Accepting new patients

Locations

6125 Green Bay Rd
Ste 800
Kenosha, WI 53142
Phone (262) 654-0726

6127 Green Bay Rd
Ste 300
Kenosha, WI 53142
Phone (262) 654-0726

Interoperability endpoints

  • Direct secure messaging: rkarapetian@southeasteyewi.intellechartdirect.net

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1881854412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5802 WASHINGTON AVE",
            "address_2": "STE 102",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534064050",
            "telephone_number": "262-886-9100",
            "fax_number": "262-886-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 WASHINGTON AVE",
            "address_2": "STE 102",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534064050",
            "telephone_number": "262-886-9100",
            "fax_number": "262-886-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARAPETIAN",
        "first_name": "RAFFI",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "57183-21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, WI

Sources for this page

Verify at the official NPI Registry.