Individual provider Active NPI

Poonam N. Doshi, MD

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Lexington, MA
National Provider Identifier
1770727745
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
License
281527 Issued in MA
Practice address
21 Worthen Rd
Lexington, MA 02421-4835
Phone
(781) 876-2020
Fax
(781) 863-9416
NPI assigned
Apr 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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 281527 MA
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 281527 MA Primary

Addresses

Primary practice location

21 Worthen Rd
Lexington, MA 02421-4835

Mailing address

21 Worthen Rd
Lexington, MA 02421-4835
Phone (781) 876-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20200324001642 MA Practitioner - Ophthalmology 3779747704 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical Branch at Galveston, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Lexington Eye Associates, IncGroup PAC ID 5698748986, 33 clinicians
Lexington Eye Associates - BidGroup PAC ID 8820315682, 33 clinicians

Practice addresses (Care Compare)

21 Worthen Rd
Lexington, MA 02421-4835
Phone (781) 862-1620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
281527MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Eye Associates, Inc. Ophthalmology CurrentSince Aug 10, 2020 Accepting new patients
Emerson Hospital Current Accepting new patients
Lexington Eye Associates - Bid Ophthalmology CurrentSince Aug 10, 2020 Accepting new patients
Lexington Eye Associates, Inc Ophthalmology CurrentSince Aug 10, 2020 Accepting new patients
Spec, LLC Ophthalmology CurrentSince May 1, 2020 Accepting new patients
Indiana University Eye Care Inc. Ophthalmology Past Accepting new patients
Indiana Pediatric Ophthalmology & Adult Strabismus, LLC Ophthalmology Past Accepting new patients

Locations

77 Herrick St
Ste 102
Beverly, MA 01915
Phone (978) 338-4321

300 Baker Ave
Ste 210
Concord, MA 01742
Phone (978) 369-1310

21 Worthen Rd
Lexington, MA 02421
Phone (617) 862-1620

534 Boston Post Rd
Sudbury, MA 01776
Phone (781) 876-2020

Interoperability endpoints

  • Direct secure messaging: doshi.poonam.epho@direct.partners.masshiway.net

Organizations & group practices 8

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": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1770727745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WORTHEN RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024214835",
            "telephone_number": "781-876-2020",
            "fax_number": "781-863-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WORTHEN RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024214835",
            "telephone_number": "781-876-2020",
            "fax_number": "781-863-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSHI",
        "first_name": "POONAM",
        "middle_name": "N.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-21",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "281527",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "MA",
            "license": "281527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

Verify at the official NPI Registry.