Suresh Mandava, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036932 Issued in CT

Practice address

2046 W Main St Ste 2
Stamford, CT 06902-4523

Phone

(203) 869-3082

Fax

(203) 869-6453

NPI assigned

Jul 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Specialty

Ophthalmology

Education

Yale University School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Refocus Eye Health of Central Connecticut PCGroup PAC ID 5597176834, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Greenwich Hospital Association - Hospital, Greenwich, CT, CCN 070018

Merit-based Incentive Payment System (MIPS)

Final score

85.94 of 100Reported as group

Quality

89.64

Promoting interoperability

95

Improvement activities

40

Cost

67.65

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smandava@refocus.intellechartdirect.net

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.

• Refocus Eye Health of Central Connecticut, P.C.

  • Ophthalmology Physician
  • Waterbury, CT
  • NPI 1548874936
  Medicare reassignment Care Compare group NPD
• Refocus Eye Health of Central Connecticut, P.C.

  • Eyewear Supplier
  • Waterbury, CT
  • NPI 1689459471

  Ophthalmology

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Greenwich Hospital

  • General Acute Care Hospital
  • Greenwich, CT
  • NPI 1609846088
  Care Compare affiliation

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1477551869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2046 W MAIN ST STE 2",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069024523",
            "telephone_number": "203-869-3082",
            "fax_number": "203-869-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2046 W MAIN ST STE 2",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069024523",
            "telephone_number": "203-869-3082",
            "fax_number": "203-869-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDAVA",
        "first_name": "SURESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "036932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "010036932CT01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2046779",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "036932",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2V8862",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE",
            "identifier": "9Y214",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frida Malpica, AU.D.
• Neha Malrani, APRN
• Donna-Marie Manasseh, MD
• Michal A Manaster, M.D.
• Silvio Alexander Mandara, MD
• Thomas William Manders, DDS
• Lindsey Manetta, LMSW
• Vanie Mangal
• Schuyler Manhattan
• Sergio G. Manimbo, M.D.

• Ophthalmology Physician in Stamford, CT
• Providers in Stamford, CT by specialty
• Ophthalmology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.