Individual provider Active NPI

Prat Itharat, M.D.

  • Ophthalmology Physician
  • Summerville, SC
National Provider Identifier
1124281688
Registry record updated Dec 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MMD.3132 Issued in SC
Practice address
515 Carnes Crossing Blvd
Suite C
Summerville, SC 29486
Phone
(843) 259-2002
Fax
(843) 259-2005
NPI assigned
Jul 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2017

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 MMD.3132 SC Primary

Addresses

Primary practice location

515 Carnes Crossing Blvd
Suite C
Summerville, SC 29486

Mailing address

515 Carnes Crossing Blvd
Suite C
Summerville, SC 29486
Phone (843) 259-2002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20090211000622 SC Practitioner - Ophthalmology 8921163767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

515 Carnes Crossing Blvd
Suite C
Summerville, SC 29486-0412
Phone (843) 259-2002

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery192

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MMD.3132SCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Cataract and Eye Specialists, LLC Ophthalmology CurrentSince Aug 1, 2012 Accepting new patients
Charleston Cornea & Refractive Surgery, PA Ophthalmology PastSince Jan 1, 2000 Accepting new patients

Locations

515 Carnes Crossing Blvd
Ste C
Summerville, SC 29486
Phone (843) 259-2002

Interoperability endpoints

  • Direct secure messaging: pitharat@palmettoeyeinstitute.direct.eyemdemr.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514246400000",
    "number": "1124281688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 CARNES CROSSING BLVD",
            "address_2": "SUITE C",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "29486",
            "telephone_number": "843-259-2002",
            "fax_number": "843-259-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 CARNES CROSSING BLVD",
            "address_2": "SUITE C",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "29486",
            "telephone_number": "843-259-2002",
            "fax_number": "843-259-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITHARAT",
        "first_name": "PRAT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-05",
        "last_updated": "2017-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "MMD.3132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.