Individual provider Active NPI

Pooja Pendri, MD

  • Ophthalmology Physician
  • Naples, FL
National Provider Identifier
1437618766
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME162411 Issued in FL
Practice address
3880 Tamiami TRL N
Naples, FL 34103-3504
Phone
(239) 659-3937
Fax
(239) 659-3939
NPI assigned
Mar 16, 2019
Last updated
Aug 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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 ME162411 FL Primary

Addresses

Primary practice location

3880 Tamiami TRL N
Naples, FL 34103-3504

Mailing address

PO Box 236
South Glastonbury, CT 06073-0236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20241206002435 NJ Practitioner - Ophthalmology 1557722394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glaucoma Institute of Northern New Jersey LLCGroup PAC ID 1456448042, 3 clinicians

Practice addresses (Care Compare)

87 W Passaic St
Rochelle Park, NJ 07662-3213
Phone (201) 343-3499

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Glaucoma Institute of Northern New Jersey LLC CurrentSince Oct 14, 2024 Accepting new patients

Locations

87 W Passaic St
Rochelle Park, NJ 07662
Phone (201) 343-3499

405 Northfield Ave
Ste LL8
West Orange, NJ 07052
Phone (201) 343-1566

Interoperability endpoints

  • Direct secure messaging: ppendri@glaucomainstitute.intellechartdirect.net
  • Direct secure messaging: ppendri124406@direct.med.miami.edu

Organizations & group practices 1

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.

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": "1552694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1437618766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "SOUTH GLASTONBURY",
            "state": "CT",
            "postal_code": "060730236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 TAMIAMI TRL N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033504",
            "telephone_number": "239-659-3937",
            "fax_number": "239-659-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDRI",
        "first_name": "POOJA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-16",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME162411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.