Active NPI
Asheesh Tewari, MD
- Retina Specialist (Ophthalmology) Physician
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- 4301078018
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 199360 | Other | MO-BLUE SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301078018 | MI | MD | Ophthalmology Physician |
| 2005008376 | MO | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Retina & Vitreous Consultants Inc | Ophthalmology | Past | Accepting new patients |
| The Retina Institute LLC | Ophthalmology | Past | Accepting new patients |
| Retina Consultants, LLC | Retina Specialist | Past | Accepting new patients |
Interoperability endpoints
- atewari@retinaexpert.intellechartdirect.net
- 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.
-
- Ophthalmology Physician
- Dearborn, MI
- NPI 1164960571
-
- Ophthalmology Physician
- Saint Louis, MO
- NPI 1255452603
-
dba The Retina Institute
- Retina Specialist (Ophthalmology) Physician
- Brentwood, MO
- NPI 1700175395
-
dba Barnes Retina Institute
- Ophthalmology Physician
- Saint Louis, MO
- NPI 1407858673
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Trinity Heath Ann Arbor Hospital
- General Acute Care Hospital
- Ypsilanti, MI
- NPI 1780658443
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.