Individual provider Active NPI

Ayan Chatterjee, M.D.

  • Glaucoma Specialist (Ophthalmology) Physician
  • King of Prussia, PA
National Provider Identifier
1265845804
Registry record updated Jan 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
2018-00306 Issued in NC
Practice address
200 Mall Blvd
King of Prussia, PA 19406-2902
Phone
(866) 407-1852
NPI assigned
Jun 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 259852 MA
Ophthalmology Physician 207W00000X 2018-00306 NC
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 2018-00306 NC Primary

Addresses

Primary practice location

200 Mall Blvd
King of Prussia, PA 19406-2902

Mailing address

861 N Leithgow St
Philadelphia, PA 19123-2127
Phone (919) 597-8747

Other practice location 1

123 Summer St
Worcester, MA 01608-1216
Phone (508) 363-6208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190805003272 PA Practitioner - Ophthalmology 3476866492 Reassigns benefits to 2 organizations
I20190819001912 NJ Practitioner - Ophthalmology 3476866492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Pennsylvania State University College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware Valley Vision Associates Group Practice, LLCGroup PAC ID 6002833753, 14 clinicians
Omni Eye Specialists P aGroup PAC ID 0547150062, 45 clinicians
Wills Eye Ophthalmology Clinic, IncGroup PAC ID 9133025166, 146 clinicians

Practice addresses (Care Compare)

1018 W 9TH Ave
King of Prussia, PA 19406-1225
Phone (610) 337-1580

485 Route 1 S
BLDG a
Iselin, NJ 08830-3009
Phone (732) 750-0400

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.91 of 100Reported as group
Quality
87.14
Promoting interoperability
92
Improvement activities
40
Cost
78.17

Merit-based Incentive Payment System (MIPS)

Final score
90.18 of 100Reported as group
Quality
93.25
Promoting interoperability
97
Improvement activities
40
Cost
76.51

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery614

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
259852MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Valley Vision Associates Group Practice, LLC Ophthalmology CurrentSince Aug 19, 2019 Accepting new patients
Wills Eye Ophthalmology Clinic, Inc Ophthalmology CurrentSince Aug 15, 2019 Accepting new patients
Omni Eye Specialists P a Ophthalmology CurrentSince Jul 1, 2019 Accepting new patients
Erie Retinal Surgery, Inc. Ophthalmology Past Accepting new patients
Omni Eye Surgery of New York PC Ophthalmology Past Accepting new patients
Ludwick Eye Center, LTD Ophthalmology Past Accepting new patients

Locations

1000 Atlantic Ave
Ste 109
Camden, NJ 08104
Phone (856) 365-1500

1820 Chapel Ave W
Ste 100
Cherry Hill, NJ 08002

130 Gaither Dr
Ste 160
Mount Laurel, NJ 08054
Phone (609) 722-7000

415 Woodbury Glassboro Rd
Sewell, NJ 08080
Phone (856) 582-1288

900 Route 168
Ste E5
Turnersville, NJ 08012
Phone (856) 227-0720

828 Fayette St
Conshohocken, PA 19428
Phone (215) 886-9090

2020 Sullivan Trl
Easton, PA 18040
Phone (610) 258-6666

1018 W 9th Ave
Ste 100
King of Prussia, PA 19406
Phone (610) 337-1580

200 Mall Blvd
Kng of Prussa, PA 19406
Phone (610) 337-1580

412 W Lehigh Ave
Ste 1
Philadelphia, PA 19133

840 Walnut St
Ste 1250
Philadelphia, PA 19107
Phone (215) 928-3900

1800 John F Kennedy Blvd
Ste 902
Philadelphia, PA 19103

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

412 W Lehigh Ave
#1
Philadelphia, PA 19133

965 Baltimore Pike
Ste 6
Springfield, PA 19064
Phone (610) 328-7500

865 Easton Rd
Ste 240
Warrington, PA 18976
Phone (215) 675-4992

744 Lancaster Ave
Wayne, PA 19087
Phone (215) 244-7400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: ayan.chatterjee.p6@direct.omnieyeservices.nextgenshare.com

Organizations & group practices 6

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": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548547200000",
    "number": "1265845804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 N LEITHGOW ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191232127",
            "telephone_number": "919-597-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MALL BLVD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062902",
            "telephone_number": "866-407-1852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Summer St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016081216",
            "country_code": "US",
            "telephone_number": "508-363-6208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHATTERJEE",
        "first_name": "AYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-10",
        "last_updated": "2019-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "259852",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2018-00306",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "NC",
            "license": "2018-00306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.