Mitra Ayazifar, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

C52250 Issued in CA

Practice address

9221 Sierra College Blvd
Suite 130
Roseville, CA 95661-5919

Phone

(916) 797-6747

Fax

(916) 797-6728

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

OphthalmologyAlso: Plastic and Reconstructive Surgery

Education

George Washington University School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: capitaleyemed.mitraayazifar@154887.advancedmd-direct.com

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.

• Capital Eye Medical Group

  • Ophthalmology Physician
  • Roseville, CA
  • NPI 1962783928
  Medicare reassignment NPD Authorized official
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment Care Compare group
• Sierra Eyecare Associates

  • Optometrist
  • Jackson, CA
  • NPI 1699854158
  Medicare reassignment NPD
• Sierra View Medical Eye., Inc

  • Ophthalmology Physician
  • Grass Valley, CA
  • NPI 1982631941
  Medicare reassignment NPD
• Capital Eye Medical Group

  • Ophthalmology Physician
  • Grass Valley, CA
  • NPI 1780234419
  NPD Authorized official
• Gregory J Porter MD Inc

  • Anesthesiology Physician
  • Grass Valley, CA
  • NPI 1588849954
  NPD (past)
• Jeffery W Adkins MD

  • Ophthalmology Physician
  • Sacramento, CA
  • NPI 1871761049
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1972520641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9221 SIERRA COLLEGE BLVD",
            "address_2": "STE 130",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956615919",
            "telephone_number": "916-797-6747",
            "fax_number": "916-797-6728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9221 SIERRA COLLEGE BLVD",
            "address_2": "SUITE 130",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956615919",
            "telephone_number": "916-797-6747",
            "fax_number": "916-797-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYAZIFAR",
        "first_name": "MITRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C52250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felipe Avila
• Tina Avila
• Tayyiba Awan, MD
• Malak Awwad
• Jessica Sofia Ayala-Medina
• Aloralyn Rominque Ayran
• Elycia Ayres, WC
• Gjia Ayson
• Eiman Azad, DO
• Manuel M Azares, PHARMD

• Ophthalmology Physician in Roseville, CA
• Providers in Roseville, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.

Verify at the official NPI Registry.