Individual provider Active NPI

Avinash Prasad Tantri, MD

  • Ophthalmology Physician
  • Lakeville, CT
National Provider Identifier
1306995766
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
045161 Issued in CT
Practice address
31 Porter St
Lakeville, CT 06039
Phone
(860) 435-0072
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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 045161 CT Primary

Addresses

Primary practice location

31 Porter St
Lakeville, CT 06039

Mailing address

31 Porter St
PO Box 548
Lakeville, CT 06039
Phone (860) 435-0072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20070906000191 CT Practitioner - Ophthalmology 3870686983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Ohio State University College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Eye Consultants PCGroup PAC ID 2668431792, 16 clinicians

Practice addresses (Care Compare)

31 Porter St
Lakeville, CT 06039-1214
Phone (860) 435-9831

69 Sand Pit Rd
Danbury, CT 06810-4004
Phone (203) 791-2020

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery189

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
045161CTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Eye Consultants, PC Ophthalmology CurrentSince Jan 1, 2023 Accepting new patients
Connecticut Eye Consultants, PC Ophthalmology CurrentSince Jan 1, 2023 Accepting new patients

Locations

69 Sand Pit Rd
Ste 101
Danbury, CT 06810
Phone (203) 791-2020

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: avinash.tantri.p1@direct.danburyeye.nextgenshare.com

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1306995766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 PORTER ST",
            "address_2": "PO BOX 548",
            "city": "LAKEVILLE",
            "state": "CT",
            "postal_code": "06039",
            "telephone_number": "860-435-0072",
            "fax_number": "860-435-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 PORTER ST",
            "city": "LAKEVILLE",
            "state": "CT",
            "postal_code": "06039",
            "telephone_number": "860-435-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANTRI",
        "first_name": "AVINASH",
        "middle_name": "PRASAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "045161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, CT

Sources for this page

Verify at the official NPI Registry.