Shantaram Talegaonkar, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0101027550 Issued in VA

Practice address

304 W Broadway Ave
Hopewell, VA 23860-2624

Phone

(804) 458-4802

NPI assigned

Sep 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AICDBD

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.

• Eye Surgeons of Richmond

  • Eyewear Supplier
  • Hopewell, VA
  • NPI 1003830753
  NPD (past)
• Eye Surgeons of Richmond, Inc.

  • Eyewear Supplier
  • Richmond, VA
  • NPI 1033625744
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1063518843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WESTHAMPTON STA",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263330",
            "telephone_number": "804-287-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W BROADWAY AVE",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238602624",
            "telephone_number": "804-458-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALEGAONKAR",
        "first_name": "SHANTARAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101027550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010137802",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arthur Daniel Strunk, PHARMD
• Abigail Hunter Swanson
• Swoop Down Medical Transportation LLC
• Ali Sylvester
• Tactical Rehabilitation Inc
• Jessica Taylor, CCC-SLP
• Loretta Joann Taylor, NURSE
• Nilda Jo Tensen, M.D.
• Amanda Lynn Tharaldson, OTA
• The Better Youth Bureau, LLC

• Ophthalmology Physician in Hopewell, VA
• Providers in Hopewell, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.