Individual provider Active NPI

Hussein Wafapoor, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Fort Myers, FL
National Provider Identifier
1972550622
Registry record updated Jul 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
ME9609 Issued in FL
Practice address
1567 Hayley LN
Suite 101
Fort Myers, FL 33907-2109
Phone
(239) 337-3337
Fax
(239) 936-2394
NPI assigned
May 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 16742 MS
Ophthalmology Physician 207W00000X ME9609 FL
Retina Specialist (Ophthalmology) Physician 207WX0107X ME9609 FL Primary

Addresses

Primary practice location

1567 Hayley LN
Suite 101
Fort Myers, FL 33907-2109

Mailing address

1567 Hayley LN
Suite 101
Fort Myers, FL 33907-2109
Phone (239) 337-3337

Other identifiers 1

IdentifierTypeStateIssuer
00123783MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070619000595 FL Practitioner - Ophthalmology 9234238015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Health Center PLGroup PAC ID 0143296335, 4 clinicians

Practice addresses (Care Compare)

1567 Hayley LN
Suite 101
Fort Myers, FL 33907-2109
Phone 2393373337260

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME9609FLMDOphthalmology Physician
16742MSMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Sight, PL Ophthalmology Current Accepting new patients
Ching Jygh Chen Past Accepting new patients
University Ophthalmology Associates Ophthalmology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hwafapoor@useye.intellechartdirect.net

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500336000000",
    "number": "1972550622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1567 HAYLEY LN",
            "address_2": "SUITE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072109",
            "telephone_number": "239-337-3337",
            "fax_number": "239-936-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1567 HAYLEY LN",
            "address_2": "SUITE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072109",
            "telephone_number": "239-337-3337",
            "fax_number": "239-936-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAFAPOOR",
        "first_name": "HUSSEIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2017-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "16742",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME9609",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME9609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00123783",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.