Individual provider Active NPI

Anthony Frank Novak, MD

  • Ophthalmology Physician
  • River Falls, WI
National Provider Identifier
1922077106
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
30071-20 Issued in WI
Practice address
183 E Pomeroy St
River Falls, WI 54022-3506
Phone
(715) 425-0115
Fax
(715) 425-6001
NPI assigned
Mar 17, 2006
Last updated
Jan 4, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 30164 MN
Ophthalmology Physician 207W00000X 30071-20 WI Primary

Addresses

Primary practice location

183 E Pomeroy St
River Falls, WI 54022-3506

Mailing address

183 E Pomeroy St
River Falls, WI 54022-3506
Phone (715) 425-0115

Other identifiers 1

IdentifierTypeStateIssuer
31500600MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060501000214 MN Practitioner - Ophthalmology 0840200259
I20060925000113 WI Practitioner - Ophthalmology 0840200259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Minnesota Medical School, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

183 E Pomeroy St
River Falls, WI 54022-3506
Phone (715) 425-0115

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.33 of 100Reported as individual
Quality
99.09
Improvement activities
40
Cost
65.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery276

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30164MNMDOphthalmology Physician
30071-20WIMDOphthalmology Physician

Interoperability endpoints

  • Direct secure messaging: anovak@rfeye.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 5

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1922077106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 E POMEROY ST",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540223506",
            "telephone_number": "715-425-0115",
            "fax_number": "715-425-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 E POMEROY ST",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540223506",
            "telephone_number": "715-425-0115",
            "fax_number": "715-425-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "ANTHONY",
        "middle_name": "FRANK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "30164",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "30071-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31500600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in River Falls, WI

Sources for this page

Verify at the official NPI Registry.