Ashok R Penmatcha, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

31845 Issued in IA

Practice address

1230 E Rusholme St
Ste 203
Davenport, IA 52803-2400

Phone

(563) 322-0923

Fax

(563) 322-7403

NPI assigned

Feb 1, 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 2

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Ophthalmology

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ashok.penmatcha.p2@direct.urologyqc.nextgenshare.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.

• Davenport Eye Group PC

  • Ophthalmology Physician
  • Davenport, IA
  • NPI 1508838954
  Medicare reassignment NPD
• Quad Cities Retina Consultants

  • Ophthalmology Physician
  • Davenport, IA
  • NPI 1952567794
  NPD (past)

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1174595516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 E RUSHOLME ST",
            "address_2": "STE 203",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032400",
            "telephone_number": "563-322-0923",
            "fax_number": "563-322-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 E RUSHOLME ST",
            "address_2": "STE 203",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032400",
            "telephone_number": "563-322-0923",
            "fax_number": "563-322-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENMATCHA",
        "first_name": "ASHOK",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "31845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0156885",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "59311",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colleen Pearson, RN
• Danielle Pearson, DC
• Retta E Pelsang, MD
• Shelby Marie Pelzer, ARNP
• Caitlin Nicole Pena, BCBA
• Suzanne M Peppers, PA
• Performance Psychiatric Consults LLC
• Charlene Marie Perkins, RN,LCCE,CD(DONA)
• Brittany Francisca Pernell, LMHC
• Michael Charles Persson Jr., M.D.

• Ophthalmology Physician in Davenport, IA
• Providers in Davenport, IA by specialty
• Ophthalmology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.