Active NPI
Kerry K. Assil, M.D.
- Ophthalmology Physician
- Beverly Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G62647
- 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, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G626470 | Medicaid | CA |
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
Enrollment records 1
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
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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 547 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G62647 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Assil Gaur Eagle Vision, PC | Ophthalmology | Current | Accepting new patients |
| Precision Ambulatory Surgery Center LLC | Past | Accepting new patients | |
| Precision Anesthesia Group Inc | Past | 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.
-
dba Assil Eye Institute
- Ophthalmology Physician
- Beverly Hills, CA
- NPI 1730250556
-
- Optometrist
- Santa Monica, CA
- NPI 1659511251
-
- Optometrist
- Beverly Hills, CA
- NPI 1831339431
-
dba Assil Eye Institute
- Ophthalmology Physician
- Santa Monica, CA
- NPI 1467636365
-
- Specialist
- Beverly Hills, CA
- NPI 1205253929
-
- Ophthalmology Physician
- Beverly Hills, CA
- NPI 1265308688
-
- Ambulatory Surgical Clinic/Center
- Beverly Hills, CA
- NPI 1114265519
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.