Janki Dinesh Chandravadia, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.011555 Issued in IL

Practice address

2181 Orange Ave E
Tallahassee, FL 32311-6144

Phone

(850) 878-0191

NPI assigned

Jul 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: janki.chandravadia.p1@direct.hauserross.nextgenshare.com
• Direct secure messaging: jchandarana525051@direct-ehr-ssmhc.com

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.

• Dekalb Eye Consultants, LLC

  • Ophthalmology Physician
  • Sycamore, IL
  • NPI 1326380510

  IL, Optometrist

  Medicare reassignment Care Compare group NPD
• Midwest Eye Center

  • Ophthalmology Physician
  • Calumet City, IL
  • NPI 1790746428

  IL, Optometrist

  Medicare reassignment NPD
• Ronald S Weiss MD SC

  • Ophthalmology Physician
  • Stickney, IL
  • NPI 1962415992
  NPD (past)

Specialty

Optometry

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dekalb Eye Consultants LLC 9 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1154094704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 W LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606255712",
            "telephone_number": "773-583-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2181 ORANGE AVE E",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323116144",
            "telephone_number": "850-878-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRAVADIA",
        "first_name": "JANKI",
        "middle_name": "DINESH",
        "name_prefix": "Ms.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Patricia Chandler, NP-C
• Susan Kay Chandler, LMT
• Tamaria E. Chandler, MS.ED
• Walter Chandler
• Nikitha Chowdary Chandra, MD
• Chaney, Couch & Associates
• Francis C Chaney, DMD
• Robert Chapman, MD
• Tammy Mae Chapman, PH.D.
• Youri R Chapman, MSW

• All providers in Tallahassee, FL
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.