Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KOOSHA RAMEZANI MD
NPI 1962965863
Ophthalmology in Bronx, NY

Active since April 09, 2019PECOS Enrolled
111 E 210TH ST, BRONX, NY 10467(718) 920-9168 Get Directions Write a Review

NPPES record last updated: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 28, 2026, Mar 13, 2026, Apr 9, 2019 (3 updates tracked since 2019).

About Koosha Ramezani Md NPPES

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

KOOSHA RAMEZANI MD (NPI 1962965863) is an individual ophthalmology provider in Bronx, New York, licensed in Virginia (0101288650) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1962965863
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameKOOSHA RAMEZANICredential: MD
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing AddressPo Box 201564Dallas, TX 75320-1564 · (947) 376-2948 · Fax (616) 383-0610
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 9, 2019
Last NPPES UpdateOctober 28, 20263 updates tracked since enumeration
NPPES CertifiedOctober 28, 2026
✔ NPI 1962965863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in VA · 0101288650
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.
111 E 210TH ST, Bronx, NY 10467

Secondary Practice Locations 6

Location 1241 Corporate Blvd Ste 210Norfolk, VA 23502-4965 · Phone (757) 622-2200
Location 22234 Cunningham DrHampton, VA 23666-2555 · Phone (757) 622-2200
Location 3200 Corporate Blvd Fl 2Norfolk, VA 23502-4900 · Phone (757) 622-2200
Location 42020 General Booth BlvdVirginia Beach, VA 23454-5875 · Phone (757) 622-2200
Location 5465 N Great Neck RdVirginia Beach, VA 23454-4064 · Phone (757) 622-2200
Location 62463 Pruden BlvdSuffolk, VA 23434-4235 · Phone (757) 622-2200

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

Koosha Ramezani 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 ID5698244648
PECOS Enrollment IDI20260519002999
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 Reassignment

Medicare enrollment records show Koosha Ramezani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ophthalmology
241 CORPORATE BLVD STE 210
Norfolk, VA 23502
  • Reassigned Medicare billing, Virginia enrollment
  • 80 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10467 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Student in an Organized Health Care Education/Training Program
111 E 210TH ST
BRONX, NY 10467
Pediatrics
111 E 210TH ST
BRONX, NY 10467

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 Koosha Ramezani's NPI number?

The NPI number for Koosha Ramezani is 1962965863. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Where is Koosha Ramezani located?

Koosha Ramezani practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-9168.

What is Koosha Ramezani's specialty?

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

Is Koosha Ramezani enrolled in Medicare?

Yes. Koosha Ramezani 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 organization bills Medicare for Koosha Ramezani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Koosha Ramezani reassigns Medicare benefits to Virginia Eye Consultants Inc (Norfolk, VA). The 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 Koosha Ramezani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Koosha Ramezani was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.