Individual provider Active NPI

Rajender Macha, O.D.

  • Optometrist
  • Anderson, IN
National Provider Identifier
1316920499
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002944A Issued in IN
Practice address
1537 S Scatterfield Rd
Ste. B
Anderson, IN 46016-5766
Phone
(765) 649-1200
Fax
(765) 649-4040
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation Optometrist 152WL0500X 18002944A IN
Sports Vision Optometrist 152WS0006X 18002944A IN
Vision Therapy Optometrist 152WV0400X 18002944A IN
Optometrist 152W00000X 18002944A IN Primary

Addresses

Primary practice location

1537 S Scatterfield Rd
Ste. B
Anderson, IN 46016-5766

Mailing address

1537 S Scatterfield Rd
Ste. B
Anderson, IN 46016-5754
Phone (765) 649-1200

Other identifiers 1

IdentifierTypeStateIssuer
200198230AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040420001215 IN Practitioner - Optometry 4789573809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Macha Family Eye Care PCGroup PAC ID 0547159659, 4 clinicians

Practice addresses (Care Compare)

1537 S Scatterfield Rd
Suite B
Anderson, IN 46016-5783

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
18002944AINMDLow Vision Rehabilitation Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Macha Family Eye Care, PC Optometrist CurrentSince Dec 1, 1999 Accepting new patients
Grace in Vision Optometrist Current Accepting new patients
Fountain Square Eye Care Optometrist CurrentSince Jan 1, 1990 Accepting new patients
Peak Visual Performance, LLC Optometrist PastSince Oct 5, 2011 Accepting new patients

Locations

1537 S Scatterfield Rd
Ste B
Anderson, IN 46016
Phone (765) 649-1200

1537 S Scatterfield Rd
#2
Anderson, IN 46016
Phone (260) 399-1333

1429 Shelby St
Indianapolis, IN 46203
Phone (317) 632-9220

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1316920499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 S SCATTERFIELD RD",
            "address_2": "STE. B",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460165754",
            "telephone_number": "765-649-1200",
            "fax_number": "765-649-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 S SCATTERFIELD RD",
            "address_2": "STE. B",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460165766",
            "telephone_number": "765-649-1200",
            "fax_number": "765-649-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHA",
        "first_name": "RAJENDER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "IN",
            "license": "18002944A",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "IN",
            "license": "18002944A",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "IN",
            "license": "18002944A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002944A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200198230A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.