Individual provider Active NPI

Nicholas Edward Mondero, O.D.

  • Optometrist
  • Hays, KS
National Provider Identifier
1942648852
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1954 Issued in KS
Practice address
1517 E 27TH St
Hays, KS 67601-2111
Phone
(785) 625-2226
Fax
(785) 625-9167
NPI assigned
Jun 13, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1954 KS Primary

Addresses

Primary practice location

1517 E 27TH St
Hays, KS 67601-2111

Mailing address

1517 E 27TH St
Hays, KS 67601-2111
Phone (785) 625-2226

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mondero@hattantayloreyecare.eyefinity-direct.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130715000793 KS Practitioner - Optometry 8224278262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1517 E 27TH St
Hays, KS 67601-2111

Merit-based Incentive Payment System (MIPS)

Final score
94.83 of 100Reported as individual
Quality
89.66
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1954KSMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael a Hattan OD Optometrist CurrentSince Dec 16, 2020 Accepting new patients
Kyler Knobbe, OD, LLC Optometrist PastSince Aug 1, 2016 Accepting new patients
Mark Bettencourt, O.D. PC Optometrist PastSince Jun 30, 2015 Accepting new patients

Locations

1517 E 27th St
Hays, KS 67601
Phone (785) 625-2226

Interoperability endpoints

  • Direct secure messaging: mondero@hattantayloreyecare.eyefinity-direct.com

Organizations & group practices 4

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": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1942648852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 E 27TH ST",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012111",
            "telephone_number": "785-625-2226",
            "fax_number": "785-625-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 E 27TH ST",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012111",
            "telephone_number": "785-625-2226",
            "fax_number": "785-625-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDERO",
        "first_name": "NICHOLAS",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-13",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mondero@hattantayloreyecare.eyefinity-direct.com",
            "affiliation": "N",
            "address_1": "1517 E 27th St",
            "city": "Hays",
            "state": "KS",
            "country_code": "US",
            "postal_code": "676012111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

Verify at the official NPI Registry.