Rohan Jalalizadeh, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

2020010836 Issued in MO

Practice address

3660 Vista Ave
Saint Louis, MO 63110-2540

Phone

(314) 977-6100

NPI assigned

Apr 20, 2016

Last updated

Jun 29, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Ophthalmology

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Retinal Consultants of Arizona LTDGroup PAC ID 4688560204, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.13 of 100Reported as group

Quality

89.32

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: rohan.jalalizadeh.p23@direct.avp.nextgenshare.com

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.

• Retinal Consultants of Arizona LTD

  • Ophthalmology Physician
  • Phoenix, AZ
  • NPI 1700823051
  Medicare reassignment Care Compare group NPD
• The Retina Institute LLC

  dba Barnes Retina Institute

  • Ophthalmology Physician
  • Saint Louis, MO
  • NPI 1407858673
  NPD (past)
• Eyenet Triage, PLC

  • Ophthalmology Physician
  • Phoenix, AZ
  • NPI 1932553211
  NPD (past)

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1972957538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 S BRENTWOOD BLVD STE 800",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631441815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 VISTA AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102540",
            "telephone_number": "314-977-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALALIZADEH",
        "first_name": "ROHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-20",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2020010836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soumil Anil Jain
• Sudhir K Jain, MD
• Surbhi Jain, MD
• Kathleen Rene Jakobsen, MSW, LCSW
• Lauren Jakubisin
• Bassel Jallad, MBBS
• Darrin Abraham Jalloh, MD
• Abdi Jama
• Mahamed Jama
• Mekeya Jama, LCSW

• Ophthalmology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Ophthalmology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.