Prasad B Panthagani, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

044859 Issued in CT

Practice address

701 Cottage Grove Rd
Suite B210
Bloomfield, CT 06002-3080

Phone

(860) 242-9090

Fax

(860) 242-9191

NPI assigned

Nov 7, 2006

Last updated

Mar 21, 2023By the provider in NPPES

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 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greater Hartford Ophthalmology LLC

  • Ophthalmology Physician
  • Bloomfield, CT
  • NPI 1780868992
  Medicare reassignment NPD Authorized official
• M S Napoleon MD PC

  dba Wayne Regional Eye Center

  • Specialist
  • Newark, NY
  • NPI 1164470019

  Ophthalmology

  NPD (past)
• M S Napoleon MD PC

  dba Wayne Regional Eye Center

  • Eyewear Supplier
  • Newark, NY
  • NPI 1528283934
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1609945427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 COTTAGE GROVE ROAD",
            "address_2": "SUITE B210",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "06002",
            "telephone_number": "860-242-9191",
            "fax_number": "860-242-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 COTTAGE GROVE RD",
            "address_2": "SUITE B210",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023080",
            "telephone_number": "860-242-9090",
            "fax_number": "860-242-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTHAGANI",
        "first_name": "PRASAD",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "044859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001448598",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy C Ortolani, P.T.
• Karen Orzechowski, LCSW
• Kristin C Overton, PA
• Oxford Home Care LLC
• Barbara Padilla, MD
• Faith F. Parsons, LPC
• Partners of Connecticut, LLC
• Raffaella Pascarella, DPM
• James Pasternack, M.D.
• Pranchi Patel

• Ophthalmology Physician in Bloomfield, CT
• Providers in Bloomfield, 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 21, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.