Individual provider Active NPI

Rutvij Tridip Patel, O.D.

  • Corneal and Contact Management Optometrist
  • Oakdale, MN
National Provider Identifier
1659863736
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
3558 Issued in MN
Practice address
8344 3Rd St N
Oakdale, MN 55128-5439
Phone
(866) 921-2392
NPI assigned
Jun 4, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 3558 MN Primary

Addresses

Primary practice location

8344 3Rd St N
Oakdale, MN 55128-5439

Mailing address

8344 3Rd St N
Oakdale, MN 55128-5439
Phone (866) 921-2392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20200224000274 TX Practitioner - Optometry 2860745619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mann Eye Center, PAGroup PAC ID 4082513379, 48 clinicians

Practice addresses (Care Compare)

1530 Sun City Blvd
Suite 150
Georgetown, TX 78633-5353
Phone (512) 327-4123

Merit-based Incentive Payment System (MIPS)

Final score
87.12 of 100Reported as group
Quality
89.41
Promoting interoperability
88
Improvement activities
40
Cost
77.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3558MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mann Eye Center, PA Single Specialty CurrentSince Jul 20, 2020 Accepting new patients
Mann Eye Center, PA Single Specialty Current Accepting new patients
Mann Eye Center CurrentSince Jul 20, 2020 Accepting new patients
Mann Eye Center, PA Past Accepting new patients

Locations

2600 Via Fortuna
Ste 400
Austin, TX 78746
Phone (512) 327-4123

1530 Sun City Blvd
Ste 150
Georgetown, TX 78633
Phone (512) 327-4123

Interoperability endpoints

  • Direct secure messaging: rpatel@manneye.emadirect.md

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1659863736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8344 3RD ST N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285439",
            "telephone_number": "866-921-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8344 3RD ST N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285439",
            "telephone_number": "866-921-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RUTVIJ",
        "middle_name": "TRIDIP",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MN",
            "license": "3558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, MN

Sources for this page

Verify at the official NPI Registry.