Individual provider Active NPI

David Nasrazadani, MD

  • Ophthalmology Physician
  • Springfield, MO
National Provider Identifier
1922529536
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2022035535 Issued in MO
Practice address
1265 E Primrose St
Springfield, MO 65804-4278
Phone
(417) 886-3937
Fax
(417) 886-1285
NPI assigned
Jul 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 94-09368 KS
Ophthalmology Physician 207W00000X 2022035535 MO Primary

Addresses

Primary practice location

1265 E Primrose St
Springfield, MO 65804-4278

Mailing address

1010 N Kansas St
Wichita, KS 67214-3124
Phone (316) 293-1818

Other identifiers 1

IdentifierTypeStateIssuer
200072849MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dan@mnp1999.integritydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20220920001077 MO Practitioner - Ophthalmology 0547522310 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Kansas School of Med (KC/Wich/Sal), 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mattax Neu Prater Eye Center IncGroup PAC ID 6103713979, shared by 4 NPIs, 13 clinicians

Practice addresses (Care Compare)

1265 E Primrose St
Springfield, MO 65804-4278
Phone 41788639371166

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
95
Improvement activities
40
Cost
77.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery38

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mattax Neu Prater Eye Center, Inc. Ophthalmology CurrentSince Sep 1, 2022 Accepting new patients
Mattax Neu Prater Surgery Center, LLC CurrentSince Sep 1, 2022 Accepting new patients
Mattax Neu Prater Eye Center, Inc. Ophthalmology CurrentSince Sep 1, 2022 Accepting new patients
Mattax Neu Prater Eye Center Inc CurrentSince Sep 1, 2022 Accepting new patients
Mattax Neu Prater Eye Center, Inc Past Accepting new patients

Locations

168 S Payne Stewart Dr
Ste 200
Branson, MO 65616
Phone (417) 348-1111

430 N Jefferson Ave
Lebanon, MO 65536
Phone (417) 588-2400

2170 E Cleveland St
Monett, MO 65708
Phone (417) 235-0853

1265 E Primrose St
Springfield, MO 65804
Phone (417) 886-3937

Interoperability endpoints

  • Direct secure messaging: dnasrazadani@mnpeyecenter.direct.eyemdemr.com

Organizations & group practices 5

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": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1922529536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N KANSAS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143124",
            "telephone_number": "316-293-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 E PRIMROSE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044278",
            "telephone_number": "417-886-3937",
            "fax_number": "417-886-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASRAZADANI",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-05",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "94-09368",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2022035535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200072849",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dan@mnp1999.integritydirect.com",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "1265 E Primrose St",
            "city": "Springfield",
            "state": "MO",
            "country_code": "US",
            "postal_code": "658044278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.