DR. SHIZUO MUKAI M.D.
NPI 1164412250
Ophthalmology in Boston, MA

Active since October 28, 2005PECOS EnrolledAccepts Medicare Assignment
243 CHARLES ST, BOSTON, MA 02114(617) 573-5050 Get Directions Write a Review

NPPES record last updated: October 25, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Shizuo Mukai M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHIZUO MUKAI M.D. (NPI 1164412250) is an individual ophthalmology provider in Boston, Massachusetts, licensed in Massachusetts (51294) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Massachusetts Eye And Ear Infirmary -, and is a graduate of Warren Alpert Medical School Of Brown University (1982).

NPPES Registry Identity

NPI1164412250
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. SHIZUO MUKAICredential: M.D.
Location Address243 CHARLES STBoston, MA 02114-3002
Mailing Address243 Charles StBoston, MA 02114-3002 · (617) 573-5050
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 1982
Enumeration DateOctober 28, 2005
Last NPPES UpdateOctober 25, 2013
NPI 1164412250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MA · 51294
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
243 CHARLES ST, Boston, MA 02114

Other Identifiers 3

Medicare UPINE10075MA
Medicaid3047962MA
Medicare ID-Type UnspecifiedJ08535MA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Shizuo Mukai M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981592409
PECOS Enrollment IDI20040308000266
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
202 services133 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
173 services158 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
90 services21 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
44 services42 patients
2d ultrasound scan of eye tissue and structures 76512
A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.
22 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Massachusetts Eye And Ear Infirmary -

Acute Care Hospitals · Boston, MA
OwnershipVoluntary non-profit - Private
CMS Certification Number220075
Location243 Charles StreetBoston, MA 02114 · Suffolk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Audiologist
243 CHARLES ST, AUDIOLOGY DEPARTMENT
BOSTON, MA 02114
Ophthalmology
243 CHARLES ST
BOSTON, MA 02114
Student in an Organized Health Care Education/Training Program
243 CHARLES ST
BOSTON, MA 02114
Eyewear Supplier
243 CHARLES ST
BOSTON, MA 02114
Ophthalmology
243 CHARLES ST, 10TH FLOOR -- OPHTHALMIC PLASTIC SURGERY
BOSTON, MA 02114
Otolaryngology
243 CHARLES ST
BOSTON, MA 02114
Emergency Medicine
243 CHARLES ST
BOSTON, MA 02114
Social Worker (Clinical)
243 CHARLES ST
BOSTON, MA 02114

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shizuo Mukai's NPI number?

The NPI number for Shizuo Mukai is 1164412250. It was assigned to this individual provider in the NPPES registry on October 28, 2005.

Where is Shizuo Mukai located?

Shizuo Mukai practices at 243 Charles St, Boston, MA 02114. The listed phone number is (617) 573-5050.

What is Shizuo Mukai's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Shizuo Mukai enrolled in Medicare?

Yes. Shizuo Mukai is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shizuo Mukai accept?

Health plans from Anthem Blue Cross and Blue Shield list Shizuo Mukai as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shizuo Mukai affiliated with any hospitals?

According to CMS data, Shizuo Mukai is affiliated with Massachusetts Eye And Ear Infirmary -.

When was this NPI record last updated?

The NPPES record for Shizuo Mukai was last updated on October 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.