Individual provider Active NPI

Asheesh Tewari, MD

  • Retina Specialist (Ophthalmology) Physician
  • Dearborn, MI
National Provider Identifier
1043248032
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
4301078018 Issued in MI
Practice address
25230 Michigan Ave
Dearborn, MI 48124-1715
Phone
(134) 412-2273
Fax
(313) 441-2241
NPI assigned
Jun 29, 2006
Last updated
Jun 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2005008376 MO
Ophthalmology Physician 207W00000X 4301078018 MI
Retina Specialist (Ophthalmology) Physician 207WX0107X 4301078018 MI Primary

Addresses

Primary practice location

25230 Michigan Ave
Dearborn, MI 48124-1715

Mailing address

25230 Michigan Ave
Dearborn, MI 48124-1715
Phone (313) 441-2227

Other identifiers 1

IdentifierTypeStateIssuer
199360OtherMO-BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address atewari@retinaexpert.intellechartdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070625000169 MI Practitioner - Ophthalmology 2163450529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Retina Center, PCGroup PAC ID 2062797830, 3 clinicians

Practice addresses (Care Compare)

25230 Michigan Ave
Dearborn, MI 48124-1715
Phone (313) 441-2227

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301078018MIMDOphthalmology Physician
2005008376MOMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina & Vitreous Consultants Inc Ophthalmology Past Accepting new patients
The Retina Institute LLC Ophthalmology Past Accepting new patients
Retina Consultants, LLC Retina Specialist PastSince Jul 1, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: atewari@retinaexpert.intellechartdirect.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1043248032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25230 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241715",
            "telephone_number": "313-441-2227",
            "fax_number": "313-441-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25230 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241715",
            "telephone_number": "134-412-2273",
            "fax_number": "313-441-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEWARI",
        "first_name": "ASHEESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2005008376",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301078018",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MI",
            "license": "4301078018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO-BLUE SHIELD",
            "identifier": "199360",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "atewari@retinaexpert.intellechartdirect.net",
            "affiliation": "N",
            "endpointDescription": "Michigan Retina Center Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "25230 Michigan Ave",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481241715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.