Active NPI
Rondai Evans, MD
- Ophthalmology Physician
- Brooklyn, NY
National Provider Identifier
1295744357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 212050
- Practice address
- 117 Decatur St
Suite 1
Brooklyn, NY 11216-2513 - Phone
- (718) 455-2295
- Fax
- (718) 455-2297
- NPI assigned
- Aug 7, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 212050 | NY | Primary |
Addresses
Primary practice location
117 Decatur St
Suite 1
Brooklyn, NY 11216-2513
Mailing address
117 Decatur St
Suite 1
Brooklyn, NY 11216-2513
Phone (718) 455-2295
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02152312 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Columbia University College of Physicians and Surgeons, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
117 Decatur St
Suite 1
Brooklyn, NY 11216-2513
Phone (718) 455-2295
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 3 Visions Ophthalmology P.C. | Ophthalmology | Current | Accepting new patients |
| University Physicians of Brooklyn, Inc. | Ophthalmology | Past | Accepting new patients |
Locations
9425 60th Ave
Ste B4
Elmhurst, NY 11373
Phone (718) 280-9092
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
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.
-
- Ophthalmology Physician
- Brooklyn, NY
- NPI 1003078718
-
- Ophthalmology Physician
- Brooklyn, NY
- NPI 1497709901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339545600000",
"number": "1295744357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 DECATUR ST",
"address_2": "SUITE 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112162513",
"telephone_number": "718-455-2295",
"fax_number": "718-455-2297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 DECATUR ST",
"address_2": "SUITE 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112162513",
"telephone_number": "718-455-2295",
"fax_number": "718-455-2297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "RONDAI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2012-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "212050",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02152312",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.