Individual provider Active NPI

Sneh Sitaram Dhannawat, MD

  • Ophthalmology Physician
  • Baltimore, MD
National Provider Identifier
1124434063
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0091480 Issued in MD
Practice address
1001 Pine Heights Ave Ste 101
Baltimore, MD 21229-5282
Phone
(410) 644-9515
Fax
(410) 644-9525
NPI assigned
Jul 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X D0091480 MD Primary

Addresses

Primary practice location

1001 Pine Heights Ave Ste 101
Baltimore, MD 21229-5282

Mailing address

1001 Pine Heights Ave Ste 101
Baltimore, MD 21229-5282
Phone (410) 644-9515

Other practice location 1

5323 Harry Hines Blvd
Dallas, TX 75390-4500
Phone (214) 648-3848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20210721002313 MD Practitioner - Ophthalmology 0648496505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Southwestern Medical School at Dallas, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Eye Care Center LLCGroup PAC ID 9436175684, 5 clinicians

Practice addresses (Care Compare)

1001 Pine Heights Ave
Suite 101
Baltimore, MD 21229-5266
Phone (410) 644-9515

Merit-based Incentive Payment System (MIPS)

Final score
82.65 of 100Reported as group
Quality
97.3
Improvement activities
40
Cost
45.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery180

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0091480MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Eye Care Center LLC Ophthalmology CurrentSince Jul 13, 2021 Accepting new patients

Locations

1001 Pine Heights Ave
Ste 101
Baltimore, MD 21229
Phone (410) 644-9515

1001 Pine Heights Ave
Baltimore, MD 21229
Phone (410) 644-9515

11055 Little Patuxent Pkwy
Ste 105
Columbia, MD 21044
Phone (410) 686-3000

2400 Longstone Ln
Ste 206
Marriottsville, MD 21104
Phone (410) 480-9966

Interoperability endpoints

  • Direct secure messaging: sdhannawat@physicianseyecare.intellechartdirect.net

Organizations & group practices 1

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": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1124434063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PINE HEIGHTS AVE STE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295282",
            "telephone_number": "410-644-9515",
            "fax_number": "410-644-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PINE HEIGHTS AVE STE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295282",
            "telephone_number": "410-644-9515",
            "fax_number": "410-644-9525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5323 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753904500",
            "country_code": "US",
            "telephone_number": "214-648-3848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DHANNAWAT",
        "first_name": "SNEH",
        "middle_name": "SITARAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0091480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.