Individual provider Active NPI

Rajyalakshmi V Mulukutla, MD

  • Ophthalmology Physician
  • Middletown, CT
National Provider Identifier
1659382034
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
035169 Issued in CT
Practice address
400 Saybrook Road
Suite 100
Middletown, CT 06457-4773
Phone
(860) 347-7466
Fax
(860) 347-2619
NPI assigned
Aug 10, 2006
Last updated
Jan 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 035169 CT Primary

Addresses

Primary practice location

400 Saybrook Road
Suite 100
Middletown, CT 06457-4773

Mailing address

400 Saybrook Road
Suite 100
Middletown, CT 06457-4773
Phone (860) 347-7466

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
I20080118000039 CT Practitioner - Ophthalmology 5294734463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Ohio State University - College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middlesex Eye Physicians P.C.Group PAC ID 5890757108, 10 clinicians

Practice addresses (Care Compare)

400 Saybrook Rd
Suite 100
Middletown, CT 06457-4774
Phone (860) 347-7466

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.71 of 100Reported as group
Quality
94.47
Improvement activities
40
Cost
76.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery307

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
035169CTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Eye Physicians, P.C. Ophthalmology CurrentSince Nov 5, 2007 Accepting new patients
Middlesex Eye Physicians P.C. Ophthalmology CurrentSince Nov 5, 2007 Accepting new patients
Connecticut Eye Physicians P.C. Ophthalmology PastSince Nov 5, 2005 Accepting new patients

Locations

610 Foxon Rd
East Haven, CT 06513
Phone (203) 468-8800

515 Boston St
Guilford, CT 06437
Phone (203) 453-3100

400 Saybrook Rd
Ste 100
Middletown, CT 06457
Phone (860) 347-7466

48 Main St
Ste 2
Old Saybrook, CT 06475
Phone (860) 347-7466

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1659382034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SAYBROOK ROAD",
            "address_2": "SUITE 100",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574773",
            "telephone_number": "860-347-7466",
            "fax_number": "860-347-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SAYBROOK ROAD",
            "address_2": "SUITE 100",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574773",
            "telephone_number": "860-347-7466",
            "fax_number": "860-347-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULUKUTLA",
        "first_name": "RAJYALAKSHMI",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "035169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.