Individual provider Active NPI

Noaman Sanni, MD

  • Ophthalmology Physician
  • Watertown, NY
National Provider Identifier
1982654901
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
199713 Issued in NY
Practice address
1815 State St
Watertown, NY 13601-9406
Phone
(315) 788-6070
Fax
(315) 788-1950
NPI assigned
May 11, 2006
Last updated
Jul 23, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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 199713 NY Primary

Addresses

Primary practice location

1815 State St
Watertown, NY 13601-9406

Mailing address

1815 State St
Watertown, NY 13601-9406
Phone (315) 788-6070

Other identifiers 1

IdentifierTypeStateIssuer
01704076MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20111215000093 NY Practitioner - Ophthalmology 1153346986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M B Kayani Physician PCGroup PAC ID 7012932833, 5 clinicians

Practice addresses (Care Compare)

420 Ford St
Ogdensburg, NY 13669-1620
Phone (315) 393-7171

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.73 of 100Reported as group
Quality
92.83
Improvement activities
40
Cost
45.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery150
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
199713NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M B Kayani Physician PC Ophthalmology CurrentSince Aug 14, 1995 Accepting new patients
M B Kayani Physician PC Ophthalmology CurrentSince Aug 14, 1995 Accepting new patients
M B Kayani Physician PC Ophthalmology Past Accepting new patients
M B Kayani Physician PC Ophthalmology Past Accepting new patients
Watertown Medical Optical PLLC Ophthalmology PastSince Sep 28, 1999 Accepting new patients

Locations

77 W Barney St
Gouverneur, NY 13642
Phone (315) 287-1000

7785 N State St
Lowville, NY 13367
Phone (315) 376-5102

7785 N State St
Ste 250
Lowville, NY 13367
Phone (315) 376-5488

420 Ford St
Ogdensburg, NY 13669
Phone (315) 393-7171

1815 State St
Watertown, NY 13601
Phone (315) 786-8064

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1982654901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 STATE ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136019406",
            "telephone_number": "315-788-6070",
            "fax_number": "315-788-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 STATE ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136019406",
            "telephone_number": "315-788-6070",
            "fax_number": "315-788-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANNI",
        "first_name": "NOAMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "199713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01704076",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.