Individual provider Active NPI

Tatyana Serednyakova, DO

  • Ophthalmology Physician
  • Warwick, RI
National Provider Identifier
1386961548
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
DO00701 Issued in RI
Practice address
566 Toll Gate Rd
Warwick, RI 02886-2799
Phone
(401) 738-4800
Fax
(401) 738-8153
NPI assigned
Apr 28, 2010
Last updated
Sep 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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 DO00701 RI Primary

Addresses

Primary practice location

566 Toll Gate Rd
Warwick, RI 02886-2799

Mailing address

566 Toll Gate Rd
Warwick, RI 02886-2799
Phone (401) 738-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20130702000629 RI Practitioner - Ophthalmology 7911147533 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Koch Eye Associates LLPGroup PAC ID 1153213921, 28 clinicians
Eye Health Associates of Rhode Island IncGroup PAC ID 7618129263, 5 clinicians

Practice addresses (Care Compare)

566 Toll Gate Rd
Warwick, RI 02886-2716
Phone (401) 738-4800

73 Valley Rd
Middletown, RI 02842-5234
Phone (401) 845-2020

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
94.39 of 100Reported as group
Quality
88.78
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Health Associates of Rhode Island Inc CurrentSince Jul 1, 2013 Accepting new patients
Eye Health Associates of Rhode Island Inc Ophthalmology CurrentSince Jul 1, 2013 Accepting new patients
Koch Eye Associates LLP Ophthalmology CurrentSince Jul 1, 2013 Accepting new patients
Koch Eye Associates, LLP Ophthalmology CurrentSince Jul 1, 2013 Accepting new patients
Koch Eye Associates LLP Past Accepting new patients

Locations

51 State Rd
North Dartmouth, MA 02747
Phone (508) 994-1400

1404 Atwood Ave
Johnston, RI 02919
Phone (401) 943-6000

73 Valley Rd
Middletown, RI 02842
Phone (401) 289-2170

20 Hampton Way
Ste 1A
Wakefield, RI 02879
Phone (401) 783-7009

566 Toll Gate Rd
Warwick, RI 02886
Phone (401) 732-1180

618 Toll Gate Rd
Warwick, RI 02886
Phone (401) 239-1800

166 Cass Ave
Unit 1
Woonsocket, RI 02895
Phone (401) 769-2511

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1386961548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862799",
            "telephone_number": "401-738-4800",
            "fax_number": "401-738-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862799",
            "telephone_number": "401-738-4800",
            "fax_number": "401-738-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEREDNYAKOVA",
        "first_name": "TATYANA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-28",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "RI",
            "license": "DO00701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.