Individual provider Active NPI

Nehal Punam Patel-Chille, O.D.

  • Optometrist
  • Orchard Park, NY
National Provider Identifier
1053461384
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006669 Issued in NY
Practice address
301 Sterling Dr
Orchard Park, NY 14127-1570
Phone
(716) 677-6500
Fax
(716) 677-6507
NPI assigned
Jan 11, 2007
Last updated
Sep 5, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV006669 NY Primary

Addresses

Primary practice location

301 Sterling Dr
Orchard Park, NY 14127-1570

Mailing address

327 Selkirk Dr
N Tonawanda, NY 14120-2841
Phone (716) 207-2337

Other identifiers 1

IdentifierTypeStateIssuer
02651536MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040412001323 NY Practitioner - Optometry 7315931490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV006669NYMDOptometrist
006669NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Legarreta Eye Center Optometrist PastSince Sep 1, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1053461384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 SELKIRK DR",
            "city": "N TONAWANDA",
            "state": "NY",
            "postal_code": "141202841",
            "telephone_number": "716-207-2337",
            "fax_number": "716-677-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 STERLING DR",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271570",
            "telephone_number": "716-677-6500",
            "fax_number": "716-677-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL-CHILLE",
        "first_name": "NEHAL",
        "middle_name": "PUNAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02651536",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.