Active NPI
Nandita M Pushpala, OD
- Optometrist
- Indianapolis, IN
National Provider Identifier
1255067849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18004351A
- Practice address
- 9630 E Washington St
Indianapolis, IN 46229-3032 - Phone
- (317) 897-5942
- NPI assigned
- Jul 27, 2022
- Last updated
- Nov 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18004351A | IN | Primary |
Addresses
Primary practice location
9630 E Washington St
Indianapolis, IN 46229-3032
Mailing address
9630 E Washington St
Indianapolis, IN 46229-3032
Phone (317) 897-5942
Other practice location 1
11547 Buckskin Dr
Zionsville, IN 46077-4418
Phone (317) 835-6220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18004351A | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Vision, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667865600000",
"number": "1255067849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9630 E WASHINGTON ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462293032",
"telephone_number": "317-897-5942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9630 E WASHINGTON ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462293032",
"telephone_number": "317-897-5942"
}
],
"practiceLocations": [
{
"address_1": "11547 Buckskin Dr",
"address_purpose": "LOCATION",
"city": "Zionsville",
"state": "IN",
"postal_code": "460774418",
"country_code": "US",
"telephone_number": "317-835-6220",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PUSHPALA",
"first_name": "NANDITA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-27",
"last_updated": "2022-11-08",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18004351A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.