Ritesh Poudyal, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5501 Issued in OH

Practice address

1620 Guess Rd
Durham, NC 43613

Phone

(919) 286-5742

NPI assigned

May 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Netra Optometric Associates PLLC

  • Optometrist
  • Winston Salem, NC
  • NPI 1891004362
  Medicare reassignment NPD Authorized official
• Risk Optometric Associates, PA

  • Optometrist
  • Fayetteville, NC
  • NPI 1073584157
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1477766129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 GUESS RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 GUESS RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "43613",
            "telephone_number": "919-286-5742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUDYAL",
        "first_name": "RITESH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000542611",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2746774",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guy Potter, M.D.
• Kimberly Elizabeth Potter, NP
• Lori Bates Potter, MA, LPC
• Nicholas Daniel Potter, DPT, ATC
• Blake Pou
• Chantale Poulin
• Winona Elizabeth Poulton, CNM, WHNP-BC
• Lisa Povsic
• Thomas Povsic, M.D.
• Karen Elaine Powell-Boone, PA-C

• Optometrist in Durham, NC
• Providers in Durham, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.