Individual provider Active NPI

Nataliya Pokeza, MD

  • Ophthalmology Physician
  • Hamden, CT
National Provider Identifier
1467795120
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
62695 Issued in CT
Practice address
2880 Old Dixwell Ave
Hamden, CT 06518-3144
Phone
(203) 248-6365
Fax
(203) 281-2742
NPI assigned
Apr 1, 2013
Last updated
Nov 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X 62695 CT Primary

Addresses

Primary practice location

2880 Old Dixwell Ave
Hamden, CT 06518-3144

Mailing address

2880 Old Dixwell Ave
Hamden, CT 06518-3144
Phone (203) 248-6365

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
I20190709001877 CT Practitioner - Ophthalmology 5294004412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York Downstate Medical Center, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Group of Connecticut, LLCGroup PAC ID 3779482260, 3 clinicians

Practice addresses (Care Compare)

4699 Main St
Suite 106
Bridgeport, CT 06606-1830
Phone (203) 374-8182

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62695CTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Group of Connecticut, LLC Ophthalmology CurrentSince Jul 11, 2022 Accepting new patients
Ophthalmic Partners of Delaware, PA Ophthalmology PastSince Aug 7, 2017 Accepting new patients
Orthopaedic Specialty Group, P.C. PastSince Jul 11, 2022 Accepting new patients

Locations

4699 Main St
Ste 106
Bridgeport, CT 06606
Phone (203) 374-8182

Organizations & group practices 3

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": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1467795120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 OLD DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183144",
            "telephone_number": "203-248-6365",
            "fax_number": "203-281-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 OLD DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183144",
            "telephone_number": "203-248-6365",
            "fax_number": "203-281-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POKEZA",
        "first_name": "NATALIYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "62695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.