Individual provider Active NPI

Veena Shiva Rao, MD

  • Ophthalmology Physician
  • Matthews, NC
National Provider Identifier
1134410186
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2015-00408 Issued in NC
Practice address
724 Aubrey Bell Dr
Matthews, NC 28105-5055
Phone
(704) 295-3550
Fax
(704) 295-3556
NPI assigned
Apr 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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 2015-00408 NC Primary

Addresses

Primary practice location

724 Aubrey Bell Dr
Matthews, NC 28105-5055

Mailing address

724 Aubrey Bell Dr
Matthews, NC 28105-5055
Phone (704) 295-3550

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vrao18494@direct.ceenta.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20150929002342 NC Practitioner - Ophthalmology 3779891445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Yale University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charlotte Eye Ear Nose and Throat Associates PAGroup PAC ID 0446155451, 181 clinicians

Practice addresses (Care Compare)

724 Aubrey Bell Dr
Matthews, NC 28105-5055
Phone (704) 295-3550

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery182

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2015-00408NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charlotte Eye Ear Nose & Throat Associates, PA Ophthalmology CurrentSince Oct 9, 2018 Accepting new patients
Charlotte Eye Ear Nose & Throat Associates, P.a. Ophthalmology CurrentSince Oct 9, 2018 Accepting new patients

Locations

6035 Fairview Rd
Charlotte, NC 28210
Phone (336) 718-2078

724 Aubrey Bell Dr
Matthews, NC 28105
Phone (704) 295-3550

724 Aubrey Bell Dr
Ste 201
Matthews, NC 28105

1632 E Roosevelt Blvd
Monroe, NC 28112
Phone (704) 295-3725

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": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1134410186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 AUBREY BELL DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055055",
            "telephone_number": "704-295-3550",
            "fax_number": "704-295-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 AUBREY BELL DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055055",
            "telephone_number": "704-295-3550",
            "fax_number": "704-295-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "VEENA",
        "middle_name": "SHIVA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-26",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2015-00408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vrao18494@direct.ceenta.com",
            "affiliation": "N",
            "address_1": "724 Aubrey Bell Dr",
            "city": "Matthews",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281055055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.