Individual provider Active NPI

Peter T Zacharia, MD

  • Ophthalmology Physician
  • Worcester, MA
National Provider Identifier
1689666745
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
75948 Issued in MA
Practice address
33 Lancaster St
Worcester, MA 01609-2615
Phone
(508) 791-8484
Fax
(508) 791-1658
NPI assigned
Aug 16, 2005
Last updated
Dec 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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 75948 MA Primary

Addresses

Primary practice location

33 Lancaster St
Worcester, MA 01609-2615

Mailing address

33 Lancaster St
Worcester, MA 01609-2615
Phone (508) 791-8484

Other practice location 1

281 Lincoln Street
Worcester, MA 01605-2138
Phone (508) 334-6855

Other identifiers 8

IdentifierTypeStateIssuer
075948OtherMATUFTS ID
3101568MedicaidMA
44372OtherMAFALLONID
997577OtherMANETWORK HEALTH ID
489370OtherMACIGNA ID
151563OtherMAHARVARD PILGIM HP
753183220OtherMAGROUP TAX ID
J13064OtherMABLUE SHIELD ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050506000351 MA Practitioner - Ophthalmology 6204876493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York Medical College, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

33 Lancaster St
Worcester, MA 01609-2615
Phone (508) 791-8484

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery127

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Worcester Eye Consultants, PC Ophthalmology CurrentSince Feb 15, 2005 Accepting new patients
Pratt Ophthalmology Associates Inc Ophthalmology PastSince Feb 15, 2005 Accepting new patients

Locations

33 Lancaster St
Worcester, MA 01609
Phone (508) 791-8484

Organizations & group practices 2

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1689666745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LANCASTER ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092615",
            "telephone_number": "508-791-8484",
            "fax_number": "508-791-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 LANCASTER ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092615",
            "telephone_number": "508-791-8484",
            "fax_number": "508-791-1658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "281 Lincoln Street",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016052138",
            "country_code": "US",
            "telephone_number": "508-334-6855",
            "fax_number": "508-334-6795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZACHARIA",
        "first_name": "PETER",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "75948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS ID",
            "identifier": "075948",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3101568",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLONID",
            "identifier": "44372",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH ID",
            "identifier": "997577",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ID",
            "identifier": "489370",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGIM HP",
            "identifier": "151563",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP  TAX ID",
            "identifier": "753183220",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID",
            "identifier": "J13064",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.