Individual provider Active NPI

Ketki Soin, M.D.

  • Ophthalmology Physician
  • Norwood, MA
National Provider Identifier
1487916185
Registry record updated Jul 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
270720 Issued in MA
Practice address
825 Washington St Ste 230
Norwood, MA 02062-3488
Phone
(781) 769-8880
NPI assigned
Jun 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 270720 MA Primary

Addresses

Primary practice location

825 Washington St Ste 230
Norwood, MA 02062-3488

Mailing address

161 South Huntington Ave, Apt 321
Boston, MA 02130
Phone (215) 668-6345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180614000041 PA Practitioner - Ophthalmology 4688974918 Reassigns benefits to 1 organization
I20180614000206 NJ Practitioner - Ophthalmology 4688974918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Jefferson Medical College of Thomas Jefferson University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Eye Specialists P aGroup PAC ID 0547150062, 45 clinicians

Practice addresses (Care Compare)

485 Route 1 S
BLDG a
Iselin, NJ 08830-3009
Phone (732) 750-0400

Merit-based Incentive Payment System (MIPS)

Final score
88.91 of 100Reported as group
Quality
87.14
Promoting interoperability
92
Improvement activities
40
Cost
78.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery443

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Valley Vision Associates Group Practice, LLC Multi-Specialty CurrentSince Jul 23, 2018 Accepting new patients
Omni Eye Specialists P a Multi-Specialty CurrentSince Nov 1, 2018 Accepting new patients
Erie Retinal Surgery, Inc. Multi-Specialty Past Accepting new patients

Locations

4423 Route 130 S
Burlington, NJ 08016
Phone (609) 386-0202

1000 Atlantic Ave
Ste 109
Camden, NJ 08104
Phone (856) 365-1500

1820 Chapel Ave W
Ste 100
Cherry Hill, NJ 08002

1800 Chapel Ave W
Ste 100
Cherry Hill, NJ 08002
Phone (856) 910-9983

130 Gaither Dr
Ste 160
Mount Laurel, NJ 08054
Phone (609) 722-7000

218 State Rt 17 N
Rochelle Park, NJ 07662
Phone (201) 368-4200

556 Egg Harbor Rd
Ste B
Sewell, NJ 08080
Phone (856) 256-7620

415 Woodbury Glassboro Rd
Sewell, NJ 08080
Phone (856) 582-1288

405 Hurffville Crosskeys Rd
Ste 210
Sewell, NJ 08080
Phone (856) 488-6832

900 Route 168
Ste E5
Turnersville, NJ 08012
Phone (856) 227-0720

2020 Sullivan Trl
Easton, PA 18040
Phone (610) 258-6666

1018 W 9th Ave
Ste 100
King of Prussia, PA 19406
Phone (610) 337-1580

200 Mall Blvd
Kng of Prussa, PA 19406
Phone (610) 337-1580

420 W Linfield Trappe Rd
Ste 3300
Royersford, PA 19468
Phone (610) 495-2535

965 Baltimore Pike
Ste 6
Springfield, PA 19064
Phone (610) 328-7500

744 Lancaster Ave
Wayne, PA 19087
Phone (215) 244-7400

Interoperability endpoints

  • Direct secure messaging: ketki.soin.p6@direct.omnieyeservices.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: ketki.soin.p1@direct.omnieyeservices.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499385600000",
    "number": "1487916185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 SOUTH HUNTINGTON AVE, APT 321",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02130",
            "telephone_number": "215-668-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 WASHINGTON ST STE 230",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623488",
            "telephone_number": "781-769-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOIN",
        "first_name": "KETKI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-09",
        "last_updated": "2017-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "270720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

Verify at the official NPI Registry.