Individual provider Active NPI

Nikhil Bommakanti, MD

  • Ophthalmology Physician
  • Philadelphia, PA
National Provider Identifier
1740841568
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD480827 Issued in PA
Practice address
840 Walnut St Ste 1020
Philadelphia, PA 19107-5109
Phone
(800) 331-6634
NPI assigned
Jun 24, 2019
Last updated
Jul 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 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 MD480827 PA Primary

Addresses

Primary practice location

840 Walnut St Ste 1020
Philadelphia, PA 19107-5109

Mailing address

840 Walnut St Ste 1020
Philadelphia, PA 19107-5109
Phone (800) 331-6634

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nbommakanti@midatlret.intellechartdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230608001331 PA Practitioner - Ophthalmology 5799019261 Reassigns benefits to 2 organizations
I20250902004341 MA Practitioner - Ophthalmology 5799019261 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Microsurgical Eye ConsultantsGroup PAC ID 9739140104, 12 clinicians
North Suburban Eye Associates LLCGroup PAC ID 6305173097, 8 clinicians
Pratt Ophthalmology Associates IncGroup PAC ID 8628960218, 55 clinicians

Practice addresses (Care Compare)

31 Centennial Dr
Peabody, MA 01960-7901
Phone (978) 531-4400

669 Main St
Wakefield, MA 01880-5200

669 Main St
Wakefield, MA 01880-5221
Phone (781) 245-5200

800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5487

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.52 of 100Reported as group
Quality
96.59
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.34 of 100Reported as group
Quality
80.85
Promoting interoperability
100
Improvement activities
40
Cost
76.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pratt Ophthalmology Associates, Inc CurrentSince Jul 16, 2025 Accepting new patients
Pratt Ophthalmology Associates Inc Ophthalmology CurrentSince Jul 16, 2025 Accepting new patients
Wills Eye Ophthalmology Clinic, Inc Ophthalmology CurrentSince Jul 6, 2023 Accepting new patients
Retinovitreous Associates LTD Ophthalmology CurrentSince Jul 6, 2023 Accepting new patients
North Shore Medical Center, Inc. Current Accepting new patients
Microsurgical Eye Consultants CurrentSince Oct 24, 2025 Accepting new patients
North Suburban Eye Associates PC Ophthalmology CurrentSince Oct 7, 2025 Accepting new patients
North Suburban Eye Associates LLC Ophthalmology CurrentSince Oct 7, 2025 Accepting new patients
Retinovitreous Associates LTD Ophthalmology CurrentSince Jul 6, 2023 Accepting new patients
Microsurgical Eye Consultants Ophthalmology Past Accepting new patients

Locations

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

31 Centennial Dr
Peabody, MA 01960
Phone (978) 531-4400

669 Main St
Wakefield, MA 01880
Phone (781) 245-5200

840 Walnut St
Ste 1020
Philadelphia, PA 19107
Phone (215) 928-3095

840 Walnut St
Ste 1230
Philadelphia, PA 19107
Phone (215) 440-3160

Interoperability endpoints

  • Direct secure messaging: bommakanti.nikhil.nsmc@direct.partners.masshiway.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: nbommakanti@midatlret.intellechartdirect.net
  • Direct secure messaging: nbommakanti598958@direct.bilh.masshiway.net
  • Direct secure messaging: nikhil.bommakanti.p1@direct.northsuburbaneye.nextgenshare.com
  • Direct secure messaging: nikhil.bommakanti.p1@direct.willseye.nextgenshare.com

Organizations & group practices 10

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 2

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": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1740841568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 WALNUT ST STE 1020",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075109",
            "telephone_number": "800-331-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 WALNUT ST STE 1020",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075109",
            "telephone_number": "800-331-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMMAKANTI",
        "first_name": "NIKHIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD480827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbommakanti@midatlret.intellechartdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "840 Walnut St Ste 1020",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191075109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.