Individual provider Active NPI

Rajeshwari Atkuri, MD

  • Ophthalmology Physician
  • Camden, NJ
National Provider Identifier
1699750463
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA07660200 Issued in NJ
Practice address
3 Cooper PLZ
Suite 510
Camden, NJ 08103-1438
Phone
(856) 753-1547
NPI assigned
Dec 14, 2005
Last updated
Dec 4, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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 25MA07660200 NJ Primary

Addresses

Primary practice location

3 Cooper PLZ
Suite 510
Camden, NJ 08103-1438

Mailing address

3 Cooper PLZ
Suite 510
Camden, NJ 08103-1438
Phone (856) 753-1547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050506000030 NJ Practitioner - Ophthalmology 6204876550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bayshore Ophthalmology, LLCGroup PAC ID 1355336280, 5 clinicians

Practice addresses (Care Compare)

719 N Beers St
Suite 1B
Holmdel, NJ 07733-1523
Phone (732) 264-6464

Merit-based Incentive Payment System (MIPS)

Final score
91.58 of 100Reported as group
Quality
98.81
Improvement activities
40
Cost
73.53

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07660200NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bayshore Ophthalmology, LLC Ophthalmology CurrentSince Jul 15, 2018 Accepting new patients
Bayshore Ophthalmology, LLC Ophthalmology CurrentSince Jul 15, 2018 Accepting new patients
On Site Health Services PC Past Accepting new patients
Ophthalmology Consulting Services, PC Ophthalmology PastSince May 16, 2016 Accepting new patients

Locations

719 N Beers St
Ste 1B
Holmdel, NJ 07733
Phone (732) 264-6464

Interoperability endpoints

  • Direct secure messaging: rajeshwari.atkuri@bayshore.direct.eyemdemr.com

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1699750463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COOPER PLZ",
            "address_2": "SUITE 510",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031438",
            "telephone_number": "856-753-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COOPER PLZ",
            "address_2": "SUITE 510",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031438",
            "telephone_number": "856-753-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKURI",
        "first_name": "RAJESHWARI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA07660200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.