Individual provider Active NPI

Nandini Venkateswaran, M.D.

  • Ophthalmology Physician
  • Waltham, MA
National Provider Identifier
1265813992
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
283780 Issued in MA
Practice address
1601 Trapelo Rd Ste 184
Waltham, MA 02451-7356
Phone
(781) 890-1023
NPI assigned
Jun 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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 283780 MA Primary

Addresses

Primary practice location

1601 Trapelo Rd Ste 184
Waltham, MA 02451-7356

Mailing address

1601 Trapelo Rd Ste 184
Waltham, MA 02451-7356
Phone (781) 890-1023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20201009000832 MA Practitioner - Ophthalmology 2466782461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Rochester School of Medicine and Dentistry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Massachusetts Eye and Ear Associates, IncGroup PAC ID 4486540275, 430 clinicians

Practice addresses (Care Compare)

243 Charles St
Boston, MA 02114-3002
Phone (617) 523-7900

Hospital & facility affiliations

  • Massachusetts Eye and Ear Infirmary - Hospital, Boston, MA, CCN 220075

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery178

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
283780MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts Eye and Ear Associates, Inc. Ophthalmology CurrentSince Sep 1, 2020 Accepting new patients
Massachusetts Eye and Ear Infirmary Current Accepting new patients

Locations

243 Charles St
Boston, MA 02114
Phone (617) 523-7900

243 Charles St
Fl 11
Boston, MA 02114
Phone (617) 573-4306

110 Hartwell Ave
Ste 101
Lexington, MA 02421
Phone (781) 890-1023

110 Hartwell Ave
Ste 201
Lexington, MA 02421
Phone (781) 890-1023

300 Crown Colony Dr
Ste 201
Quincy, MA 02169
Phone (617) 573-3135

1601 Trapelo Rd
Ste 184
Waltham, MA 02451
Phone (781) 890-1023

Interoperability endpoints

  • Direct secure messaging: venkateswaran.nandini.meei@direct.partners.masshiway.net
  • Direct secure messaging: nvenkateswaran43866@direct.med.miami.edu

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.

Hospital & facility affiliations 1

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": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1265813992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 TRAPELO RD STE 184",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024517356",
            "telephone_number": "781-890-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 TRAPELO RD STE 184",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024517356",
            "telephone_number": "781-890-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENKATESWARAN",
        "first_name": "NANDINI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "283780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

Verify at the official NPI Registry.