Leonardo M Antaris (NPI# 1679541973, PAC ID# 1658267687) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1679541973 |
| PAC ID by PECOS | 1658267687 |
| Professional Enrollment ID | I20040226000102 |
| Full Name | Leonardo M Antaris |
| Address |
1230 E Rusholme St Suite 107 Davenport IA 52803-2400 |
| Gender | M |
| Credential | MD |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1977 |
| Primary Specialty | OPHTHALMOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160033 | GENESIS MEDICAL CENTER-DAVENPORT |
| Address | Phone | Organization |
|---|---|---|
| 1230 E Rusholme St, Suite 107, Davenport, IA 52803-2400 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% | |
| MIPS_EC_019_overall | Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care | 100% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 73% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Street Address |
1230 E RUSHOLME ST SUITE 107 |
| City | DAVENPORT |
| State | IA |
| Zip | 52803-2400 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Siv Brit Saetre | Ophthalmology | Davenport Eye Group PC | 1230 E Rusholme St, Suite 203, Davenport, IA 52803-2400 |
| Julia A Hull | Nurse Practitioner | Genesis Health System | 1230 E Rusholme St, 301 Genesis Health Group, Davenport, IA 52803-2400 |
| France B Many | Nurse Practitioner | Internal Medicine Associates Prof Corp | 1230 E Rusholme St, Suite 105, Davenport, IA 52803-2400 |
| Ashok R Penmatcha | Ophthalmology | Davenport Eye Group PC | 1230 E Rusholme St, Suite 203, Davenport, IA 52803-2400 |
| Amanda L Bailey | Optometry | Davenport Eye Group PC | 1230 E Rusholme St, Suite 203, Davenport, IA 52803-2400 |
| Edwin V Motto | Internal Medicine | Internal Medicine Associates Prof Corp | 1230 E Rusholme St, Suite 105, Davenport, IA 52803-2400 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Louis G Kerr | Chiropractic | 514 E George Washington Blvd, Davenport, IA 52803-1232 | |
| Gregg D Corrigan | Podiatry | 2839 Brady St, Davenport, IA 52803-1519 | |
| Penny K Kain | Clinical Social Worker | 2800 Eastern Ave Bldg G, Lifeskills Connection Inc, Davenport, IA 52803-2012 | |
| Sieg Hoppe | Psychologist, Clinical | Family Resources Inc | 2800 Eastern Ave, Davenport, IA 52803-2012 |
| Tammi White | Clinical Social Worker | Family Resources Inc | 2800 Eastern Ave, Davenport, IA 52803-2012 |
| Tiffany F Hunter | Clinical Social Worker | Family Resources Inc | 2800 Eastern Ave, Davenport, IA 52803-2012 |
| Lynn Ann Meincke-wohlers | Clinical Social Worker | Family Resources Inc | 2800 Eastern Ave, Davenport, IA 52803-2012 |
| Kelly A Bitel | Clinical Social Worker | Family Resources Inc | 2800 Eastern Ave, Davenport, IA 52803-2012 |
| Michael D Aldrich | Chiropractic | 2304 Jersey Ridge Rd, Suite 4, Davenport, IA 52803-2378 | |
| Morgan Ryan | Nurse Practitioner | Genesis Health System | 1236 E Rusholme St, 150 Genesis Health Group, Davenport, IA 52803-2433 |
| Find all physicians in zip 52803 | |||
| City | DAVENPORT |
| Zip Code | 52803 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | DAVENPORT + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Leonardo M Antaris.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.