Individual provider Active NPI

David D'Heurle, M.D.

  • Ophthalmology Physician
  • Atlanta, GA
National Provider Identifier
1912098435
Registry record updated Jun 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
026096 Issued in GA
Practice address
1720 Peachtree St NW
Suite 932
Atlanta, GA 30309-2449
Phone
(404) 351-0590
NPI assigned
Sep 28, 2006
Last updated
Jun 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2008

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 026096 GA Primary

Addresses

Primary practice location

1720 Peachtree St NW
Suite 932
Atlanta, GA 30309-2449

Mailing address

3619 Hadden Hall Rd NW
Atlanta, GA 30327-2627
Phone (404) 365-8707

Other identifiers 6

IdentifierTypeStateIssuer
52291515001OtherGABC/BS
WFC13OtherGAEMPIRE BC
3383779OtherGACIGNA
00284501EMedicaidGA
180040998OtherGARR MEDICARE
2384694OtherGAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20081016000202 GA Practitioner - Ophthalmology 2466510656 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Pacific Medical College, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Centers Management, IncGroup PAC ID 5092701342, 13 clinicians

Practice addresses (Care Compare)

1000 Corporate Ctr Dr
Suite 100
Morrow, GA 30260-4106
Phone (770) 968-8888

105 John Maddox NWDR
Rome, GA 30165-1419
Phone (770) 382-3598

1720 Peachtree NWST
Suite 932
Atlanta, GA 30309-2451
Phone (404) 351-0590

1720 Peachtree St NW
Suite 932
Atlanta, GA 30309-2451

7170 Hwy 278 NE B
Covington, GA 30014-1529
Phone (770) 787-6200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
93.51 of 100Reported as group
Quality
99.1
Improvement activities
40
Cost
79.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
026096GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Retina PC Ophthalmology CurrentSince Mar 1, 2001 Accepting new patients
Eye Care Centers Management Inc Ophthalmology CurrentSince Feb 1, 1998 Accepting new patients
Eye Care Centers Management Inc Ophthalmology PastSince Feb 1, 1998 Accepting new patients

Locations

1720 Peachtree St NW
Ste 932
Atlanta, GA 30309
Phone (404) 351-0590

500 Plaza Pkwy
McDonough, GA 30253
Phone (770) 968-8888

1000 Corporate Center Dr
Ste 100
Morrow, GA 30260
Phone (770) 968-8888

500 Ross St
Pittsburgh, PA 15262
Phone (844) 362-6808

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, 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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213488000000",
    "number": "1912098435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3619 HADDEN HALL RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272627",
            "telephone_number": "404-365-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 PEACHTREE ST NW",
            "address_2": "SUITE 932",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092449",
            "telephone_number": "404-351-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'HEURLE",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "026096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "52291515001",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC",
            "identifier": "WFC13",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3383779",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00284501E",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "180040998",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2384694",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.