Individual provider Active NPI

Zuleika M Ghodsi, M.D.

  • Ophthalmology Physician
  • Easton, MD
National Provider Identifier
1902809973
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0057764 Issued in MD
Practice address
405 Marvel CT
Easton, MD 21601-4053
Phone
(410) 822-9801
Fax
(410) 822-9805
NPI assigned
May 24, 2005
Last updated
Nov 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 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 D0057764 MD Primary

Addresses

Primary practice location

405 Marvel CT
Easton, MD 21601-4053

Mailing address

405 Marvel CT
Easton, MD 21601-4053
Phone (410) 822-9801

Other identifiers 1

IdentifierTypeStateIssuer
698301400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20040311000762 MD Practitioner - Ophthalmology 5496644163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Iowa, RJ & L Carver College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zuleika M Ghodsi, MD, PCGroup PAC ID 3678462421, 3 clinicians

Practice addresses (Care Compare)

405 Marvel CT
Easton, MD 21601-4053
Phone (410) 822-9801

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.67 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery881

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0057764MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zuleika M Ghodsi, MD, PC CurrentSince Feb 1, 2004 Accepting new patients
Easton Dermatology Associates, LLC PastSince Sep 2, 2003 Accepting new patients

Locations

405 Marvel Ct
Easton, MD 21601
Phone (410) 822-9801

Interoperability endpoints

  • Direct secure messaging: zuleikaghodsi@delmarvaeye.direct.eyemdemr.com

Organizations & group practices 2

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 3

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1902809973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 MARVEL CT",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014053",
            "telephone_number": "410-822-9801",
            "fax_number": "410-822-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 MARVEL CT",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014053",
            "telephone_number": "410-822-9801",
            "fax_number": "410-822-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHODSI",
        "first_name": "ZULEIKA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0057764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "698301400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.