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MIDPENINSULA OPHTHALMOLOGY MEDICAL GROUP INC
NPI 1861558157
Ophthalmology in Menlo Park, CA

Active since December 29, 2006
1225 CRANE ST, SUITE 200, MENLO PARK, CA 94025(650) 324-0056(650) 324-1156 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Midpeninsula Ophthalmology Medical Group Inc NPPES

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

MIDPENINSULA OPHTHALMOLOGY MEDICAL GROUP INC (NPI 1861558157) is a healthcare organization registered as an ophthalmology in Menlo Park, California and active in the NPI registry since December 2006. The organization lists Judith Nevitt, President, as its authorized official.

NPPES Registry Identity

NPI1861558157
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameMIDPENINSULA OPHTHALMOLOGY MEDICAL GROUP INC
Location Address1225 CRANE ST, SUITE 200Menlo Park, CA 94025-4257
Mailing Address1225 Crane St, Suite 200Menlo Park, CA 94025-4257 · (650) 324-0056 · Fax (650) 324-1156
Phone(650) 324-0056
Fax(650) 324-1156
Organization SubpartNo
Authorized OfficialJudith NevittPresident · (650) 324-0056
Enumeration DateDecember 29, 2006
Last NPPES UpdateJune 8, 2023
NPPES CertifiedJune 8, 2023
✔ NPI 1861558157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
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.
1225 CRANE ST, Menlo Park, CA 94025
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Midpeninsula Ophthalmology Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Midpeninsula Ophthalmology Medical Group Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Anupam Jayaram, M.D.
Ophthalmology
NPI 1174803944
1225 CRANE ST SUITE 200
Menlo Park, CA 94025
(650) 324-0056
✔ PECOSSame address

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

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 Midpeninsula Ophthalmology Medical Group Inc's NPI number?

The NPI number for Midpeninsula Ophthalmology Medical Group Inc is 1861558157. It was assigned to this organization in the NPPES registry on December 29, 2006.

Where is Midpeninsula Ophthalmology Medical Group Inc located?

Midpeninsula Ophthalmology Medical Group Inc is located at 1225 Crane St Suite 200, Menlo Park, CA 94025. The listed phone number is (650) 324-0056.

What is Midpeninsula Ophthalmology Medical Group Inc's specialty?

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

Is Midpeninsula Ophthalmology Medical Group Inc enrolled in Medicare?

Yes. Midpeninsula Ophthalmology Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Midpeninsula Ophthalmology Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Midpeninsula Ophthalmology Medical Group Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Midpeninsula Ophthalmology Medical Group Inc was last updated on June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.