Active NPI
Avi K Pandey, M.D.
- Ophthalmology Physician
- Fresh Meadows, NY
National Provider Identifier
1720022759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 1716051
- Practice address
- 6118 190TH St
Suite 229
Fresh Meadows, NY 11365-2724 - Phone
- (718) 454-1040
- Fax
- (718) 454-7992
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 1716051 | NY | Primary |
Addresses
Primary practice location
6118 190TH St
Suite 229
Fresh Meadows, NY 11365-2724
Mailing address
8045 Surrey PL
Jamaica, NY 11432-1450
Phone (718) 454-1040
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0801348 | Other | UNITED MEDICARE | |
| 113325410 | Other | PHCS | |
| 0006748 | Other | GHI | |
| 159853 | Other | ELDERPLAN | |
| 3938872 | Other | 1199 NATIONAL BENEFIT | |
| 01457221 | Medicaid | NY | |
| 113325410 | Other | MAGNACARE | |
| 171605A71 | Other | HEALTHFIRST MEDICAID | |
| 36E361 | Other | EMPIRE MEDICARE | |
| 113325410 | Other | CIGNA | |
| 0C8079 | Other | HEALTHNET | |
| 113325410 | Other | HORIZON | |
| 1114040 | Other | UNITEDHEALTHCARE | |
| 180018329 | Other | RAILROAD MEDICARE | |
| 113325410 | Other | MULTIPLAN | |
| 36E363 | Other | BCBS | |
| 513607 | Other | AETNA | |
| DS459 | Other | OXFORD |
Other names 1
- Awadhesh K Pandey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6118 190TH St
Suite 229
Fresh Meadows, NY 11365-2723
Hospital & facility affiliations
- Queens Hospital Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95 of 100
- Quality
- 90
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1716051 | NY | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lucy Sun MD PLLC | Ophthalmology | Current | Accepting new patients |
Locations
6118 190th St
Ste 229
Fresh Meadows, NY 11365
Phone (561) 501-1961
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- apandey13559@nychhc.direct-ci.com
- apandey@qeo.intellechartdirect.net
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
- Fresh Meadows, NY
- NPI 1407749138
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jamaica, NY
- NPI 1801803903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1720022759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8045 SURREY PL",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114321450",
"telephone_number": "718-454-1040",
"fax_number": "718-454-7992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6118 190TH ST",
"address_2": "SUITE 229",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113652724",
"telephone_number": "718-454-1040",
"fax_number": "718-454-7992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANDEY",
"first_name": "AVI",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "1716051",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED MEDICARE",
"identifier": "0801348",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "113325410",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0006748",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELDERPLAN",
"identifier": "159853",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1199 NATIONAL BENEFIT",
"identifier": "3938872",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01457221",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGNACARE",
"identifier": "113325410",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHFIRST MEDICAID",
"identifier": "171605A71",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE MEDICARE",
"identifier": "36E361",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "113325410",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "0C8079",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON",
"identifier": "113325410",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "1114040",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180018329",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "113325410",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "36E363",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "513607",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "DS459",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AWADHESH",
"last_name": "PANDEY",
"middle_name": "K",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fresh Meadows, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.