SANA IDREES MD
NPI 1316332489
Ophthalmology - Retina Specialist in Rochester, NY

Active since April 05, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
210 CRITTENDEN BLVD, FLAUM EYE INSTITUTE, ROCHESTER, NY 14642(585) 273-3937 Get Directions Write a Review

NPPES record last updated: July 7, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sana Idrees Md NPPES

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

SANA IDREES MD (NPI 1316332489) is an individual retina specialist in Rochester, New York, licensed in New Jersey (25MA11148300) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and is a graduate of George Washington University School Of Medicine (2015).

NPPES Registry Identity

NPI1316332489
Entity TypeIndividualFemale
Primary Taxonomy207WX0107X
Provider Legal NameSANA IDREESCredential: MD
Location Address210 CRITTENDEN BLVD, FLAUM EYE INSTITUTERochester, NY 14642
Mailing Address39 Sycamore AveLittle Silver, NJ 07739-1208
Sole ProprietorYes
Medical School CMSGeorge Washington University School Of MedicineGraduated 2015
Enumeration DateApril 5, 2015
Last NPPES UpdateJuly 7, 2021
NPPES CertifiedJuly 7, 2021
✔ NPI 1316332489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License✔ Licensed in NJ · 25MA11148300
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
210 CRITTENDEN BLVD, Rochester, NY 14642

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sana Idrees Md 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 ID1951644772
PECOS Enrollment IDI20210715000208
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sana Idrees reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
1 RIVERVIEW PLZ
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 95 clinicians in this Medicare group
Ophthalmology
39 SYCAMORE AVE.
Little Silver, NJ 07739
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Monmouth Retina Consultants PA
  • 11 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 17

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
8,580 services36 patients
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.
1,031 services396 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.
972 services241 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
936 services118 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
838 services591 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
797 services323 patients

Hospital Affiliations CMS Care Compare

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

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310034
LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14642 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Ophthalmology
210 CRITTENDEN BLVD
ROCHESTER, NY 14642
Technician/Technologist (Optician)
210 CRITTENDEN BLVD
ROCHESTER, NY 14642
Physician Assistant
210 CRITTENDEN BLVD
ROCHESTER, NY 14642
Technician/Technologist (Optician)
210 CRITTENDEN BLVD
ROCHESTER, NY 14642

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 Sana Idrees's NPI number?

The NPI number for Sana Idrees is 1316332489. It was assigned to this individual provider in the NPPES registry on April 5, 2015.

Where is Sana Idrees located?

Sana Idrees practices at 210 Crittenden Blvd Flaum Eye Institute, Rochester, NY 14642. The listed phone number is (585) 273-3937.

What is Sana Idrees's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Sana Idrees enrolled in Medicare?

Yes. Sana Idrees 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.

Which organizations bill Medicare for Sana Idrees's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sana Idrees reassigns Medicare benefits to 2 organizations: Ea Health - New Jersey LLC (Red Bank, NJ) and Monmouth Retina Consultants, P.A. (Little Silver, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sana Idrees's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sana Idrees accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Oscar Health list Sana Idrees 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 Sana Idrees affiliated with any hospitals?

According to CMS data, Sana Idrees is affiliated with Riverview Medical Center.

When was this NPI record last updated?

The NPPES record for Sana Idrees was last updated on July 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.