Individual provider Active NPI

Shruthi Harish Bindiganavile, MD

  • Neuro-ophthalmology Physician
  • Philadelphia, PA
National Provider Identifier
1225522253
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuro-ophthalmology PhysicianTaxonomy code 207WX0109X
License
MD481651 Issued in PA
Practice address
840 Walnut St Ste 930
Philadelphia, PA 19107-5109
Phone
(215) 928-3130
Fax
(215) 592-1923
NPI assigned
Jun 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuro-ophthalmology Physician 207WX0109X MD481651 PA Primary

Addresses

Primary practice location

840 Walnut St Ste 930
Philadelphia, PA 19107-5109

Mailing address

840 Walnut St Ste 1230
Philadelphia, PA 19107-5109
Phone (215) 440-3160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230802000098 PA Practitioner - Neurology 8921359324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wills Eye Ophthalmology Clinic, IncGroup PAC ID 9133025166, 146 clinicians

Practice addresses (Care Compare)

840 Walnut St
Philadelphia, PA 19107-5109
Phone (215) 928-3041

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.34 of 100Reported as group
Quality
80.85
Promoting interoperability
100
Improvement activities
40
Cost
76.95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD481651PAMDNeuro-ophthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wills Eye Ophthalmology Clinic, Inc Neuro-Ophthalmology CurrentSince Jul 7, 2023 Accepting new patients

Locations

840 Walnut St
Ste 1230
Philadelphia, PA 19107
Phone (215) 440-3160

840 Walnut St
Ste 930
Philadelphia, PA 19107

4060 Butler Pike
Ste 100
Plymouth Mtng, PA 19462
Phone (215) 836-1290

Interoperability endpoints

  • Direct secure messaging: shruthi.harish.bindiganavile.1@19643.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: shruthi.harishbindiganavile.p1@direct.willseye.nextgenshare.com

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1225522253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 WALNUT ST STE 1230",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075109",
            "telephone_number": "215-440-3160",
            "fax_number": "215-928-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 WALNUT ST STE 930",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075109",
            "telephone_number": "215-928-3130",
            "fax_number": "215-592-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARISH BINDIGANAVILE",
        "first_name": "SHRUTHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0109X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": "PA",
            "license": "MD481651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.