Individual provider Active NPI

Kerry K. Assil, M.D.

  • Ophthalmology Physician
  • Beverly Hills, CA
National Provider Identifier
1962436311
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G62647 Issued in CA
Practice address
450 N. Roxbury Dr. 3Rd FL.
Beverly Hills, CA 90210
Phone
(310) 453-8911
Fax
(310) 453-2519
NPI assigned
Jul 10, 2006
Last updated
Mar 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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 G62647 CA Primary

Addresses

Primary practice location

450 N. Roxbury Dr. 3Rd FL.
Beverly Hills, CA 90210

Mailing address

450 N. Roxbury Dr. 3Rd FL.
Beverly Hills, CA 90210
Phone (310) 453-8911

Other identifiers 1

IdentifierTypeStateIssuer
00G626470MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20120215000271 CA Practitioner - Ophthalmology 4880591817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, San Diego School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kerry K Assil MD IncGroup PAC ID 3476467549, 9 clinicians

Practice addresses (Care Compare)

450 N Roxbury Dr
FL 3
Beverly Hills, CA 90210-4238
Phone (310) 651-2300

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery547

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G62647CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Assil Gaur Eagle Vision, PC Ophthalmology Current Accepting new patients
Precision Ambulatory Surgery Center LLC PastSince Dec 5, 2012 Accepting new patients
Precision Anesthesia Group Inc PastSince Jan 5, 2013 Accepting new patients
Kerry K. Assil, M.D., Inc. Ophthalmology Past Accepting new patients
Kerry K Assil, MD, Inc. Past Accepting new patients
Kerry K Assil, MD, Inc. Past Accepting new patients

Locations

450 N Roxbury Dr
Fl 3
Beverly Hills, CA 90210
Phone (310) 453-8911

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1962436311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N. ROXBURY DR. 3RD FL.",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90210",
            "telephone_number": "310-453-8911",
            "fax_number": "310-453-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N. ROXBURY DR. 3RD FL.",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90210",
            "telephone_number": "310-453-8911",
            "fax_number": "310-453-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASSIL",
        "first_name": "KERRY",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G62647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G626470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.