Active NPI
Reinaldo F Pastora, MD
- Ophthalmology Physician
- Evansville, IN
National Provider Identifier
1689741704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 01035194
- Practice address
- 421 Chestnut St
Evansville, IN 47713-1227 - Phone
- (812) 426-9483
- Fax
- (812) 426-9880
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 01035194 | IN | Primary |
Addresses
Primary practice location
421 Chestnut St
Evansville, IN 47713-1227
Mailing address
421 Chestnut St
Evansville, IN 47713-1227
Phone (812) 426-9483
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100203610 | Medicaid | IN | |
| 000000584865 | Other | IN | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
954 S Kenmore Dr
Evansville, IN 47714-7513
Phone (812) 402-2020
Hospital & facility affiliations
- Ascension St Vincent Evansville
- Ascension St Vincent Warrick
- Deaconess Hospital Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 114 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialty Eyecare of Evansville, LLC | Ophthalmology | Current | Accepting new patients |
Locations
954 S Kenmore Dr
Evansville, IN 47714
Phone (812) 402-2020
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Evansville, IN
- NPI 1407195449
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1427082957
-
- Critical Access Hospital
- Boonville, IN
- NPI 1205828803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242259200000",
"number": "1689741704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 CHESTNUT ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477131227",
"telephone_number": "812-426-9483",
"fax_number": "812-426-9880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 CHESTNUT ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477131227",
"telephone_number": "812-426-9483",
"fax_number": "812-426-9880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASTORA",
"first_name": "REINALDO",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2009-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IN",
"license": "01035194",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100203610",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000584865",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.