Individual provider Active NPI

Sara Bozorg, M.D.

  • Ophthalmology Physician
  • Manchester, NH
National Provider Identifier
1891959037
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
16626 Issued in NH
Practice address
250 River Rd
Manchester, NH 03104-2423
Phone
(603) 668-2020
Fax
(603) 668-0881
NPI assigned
Jul 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician 207WX0108X 16626 NH
Ophthalmology Physician 207W00000X 16626 NH Primary

Addresses

Primary practice location

250 River Rd
Manchester, NH 03104-2423

Mailing address

250 River Rd
Manchester, NH 03104-2423
Phone (603) 668-2020

Other practice location 1

407 Riverway Pl
Bedford, NH 03110-6765
Phone (603) 668-3772

Other practice location 2

15 Lowell St
Portland, ME 04102-2792
Phone (207) 774-8277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20211221001735 ME Practitioner - Ophthalmology 2264683523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Rochester School of Medicine and Dentistry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maine Eye Center PA 19 clinicians

Practice addresses (Care Compare)

161 Marginal Way
Portland, ME 04101-2438
Phone (207) 774-8277

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery642

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Eye Center, PA CurrentSince Dec 2, 2021 Accepting new patients
Maine Eye Center, PA Ophthalmology CurrentSince Dec 2, 2021 Accepting new patients
Maine Eye Center, PA CurrentSince Jan 1, 2022 Accepting new patients

Locations

15 Lowell St
Portland, ME 04102
Phone (207) 774-8277

161 Marginal Way
Portland, ME 04101
Phone (207) 773-7964

Interoperability endpoints

  • Direct secure messaging: sbozorg461845@direct.mmc.mainehealth.org

Organizations & group practices 3

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": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1891959037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 RIVER RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042423",
            "telephone_number": "603-668-2020",
            "fax_number": "603-668-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 RIVER RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031042423",
            "telephone_number": "603-668-2020",
            "fax_number": "603-668-0881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 Riverway Pl",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "NH",
            "postal_code": "031106765",
            "country_code": "US",
            "telephone_number": "603-668-3772",
            "fax_number": "603-668-2786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Lowell St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041022792",
            "country_code": "US",
            "telephone_number": "207-774-8277",
            "fax_number": "207-523-5310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOZORG",
        "first_name": "SARA",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2023-10-12",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0108X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
            "state": "NH",
            "license": "16626",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NH",
            "license": "16626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.