Individual provider Active NPI

Geetha Ganti Vedula, MD

  • Ophthalmology Physician
  • Plantation, FL
National Provider Identifier
1700048501
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME107675 Issued in FL
Practice address
1776 N Pine Island Rd Ste 214
Plantation, FL 33322
Phone
(310) 206-1166
Fax
(310) 301-8713
NPI assigned
Jul 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A108911 CA
Ophthalmology Physician 207W00000X ME107675 FL Primary

Addresses

Primary practice location

1776 N Pine Island Rd Ste 214
Plantation, FL 33322

Mailing address

1776 N Pine Island Rd Ste 214
Plantation, FL 33322-5223
Phone (954) 452-9922

Other identifiers 2

IdentifierTypeStateIssuer
003568900MedicaidFL
00A1089110MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gvedula@youreyespecialists.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110629000614 FL Practitioner - Ophthalmology 2163568965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
West Virginia University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Macula Specialists of Miami LLCGroup PAC ID 7012156144, 24 clinicians

Practice addresses (Care Compare)

2200 N Commerce Pkwy
Suite 110
Weston, FL 33326-3258
Phone (954) 452-9922

Merit-based Incentive Payment System (MIPS)

Final score
80.15 of 100Reported as individual
Quality
68.27
Promoting interoperability
92
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A108911CAMDOphthalmology Physician
ME107675FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Macula Specialists of Miami LLC Ophthalmology CurrentSince Jul 1, 2020 Accepting new patients
Jules Stein Eye Institute Medical Group Past Accepting new patients
Retina Macula Specialists of Miami LLC Ophthalmology PastSince Feb 1, 2023 Accepting new patients

Locations

6333 N Federal Hwy
Ste 401
Ft Lauderdale, FL 33308
Phone (954) 463-4761

351 NW 42nd Ave
Ste 501
Miami, FL 33126
Phone (305) 631-8300

184 NE 168th St
North Miami Beach, FL 33162
Phone (305) 655-0411

601 N Flamingo Rd
Ste 215
Pembroke Pines, FL 33028

9015 Pines Blvd
Pembroke Pines, FL 33024

1776 N Pine Island Rd
Ste 214
Plantation, FL 33322
Phone 9544529922208

2200 N Commerce Pkwy
Ste 110
Weston, FL 33326
Phone (954) 510-2252

Interoperability endpoints

  • Direct secure messaging: gvedula@youreyespecialists.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1700048501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 N PINE ISLAND RD STE 214",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225223",
            "telephone_number": "954-452-9922",
            "fax_number": "954-452-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 N PINE ISLAND RD STE 214",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33322",
            "telephone_number": "310-206-1166",
            "fax_number": "310-301-8713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEDULA",
        "first_name": "GEETHA",
        "middle_name": "GANTI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A108911",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME107675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003568900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A1089110",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gvedula@youreyespecialists.emadirect.md",
            "affiliation": "N",
            "address_1": "1776 N Pine Island Rd Ste 214",
            "city": "Plantation",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.