Individual provider Active NPI

William J Andreoni, OPHTHALMOLOGIST

  • Ophthalmology Physician
  • Johnston, RI
National Provider Identifier
1013902816
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD05964 Issued in RI
Practice address
1524 Atwood Ave
Johnston, RI 02919-3228
Phone
(401) 272-2110
Fax
(401) 273-6236
NPI assigned
Sep 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD05964 RI Primary

Addresses

Primary practice location

1524 Atwood Ave
Johnston, RI 02919-3228

Mailing address

1524 Atwood Ave
Johnston, RI 02919-3228
Phone (401) 272-2110

Other identifiers 1

IdentifierTypeStateIssuer
9002209MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050614000947 MA Practitioner - Ophthalmology 0143264895 Reassigns benefits to 1 organization
I20070618000417 RI Practitioner - Ophthalmology 0143264895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmic Surgeons, LTDGroup PAC ID 9537142617, 5 clinicians

Practice addresses (Care Compare)

1524 Atwood Ave
Suite 240
Johnston, RI 02919-3228
Phone (401) 272-2110

Hospital & facility affiliations

  • Roger Williams Medical Center Hospital, Providence, RI, CCN 410004

Merit-based Incentive Payment System (MIPS)

Final score
94.2 of 100Reported as group
Quality
88.41
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Surgeons, LTD CurrentSince Oct 3, 1994 Accepting new patients

Locations

1524 Atwood Ave
Ste 240
Johnston, RI 02919
Phone (401) 272-2110

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1013902816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193228",
            "telephone_number": "401-272-2110",
            "fax_number": "401-272-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193228",
            "telephone_number": "401-272-2110",
            "fax_number": "401-273-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREONI",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OPHTHALMOLOGIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-18",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "RI",
            "license": "MD05964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9002209",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

Verify at the official NPI Registry.