Individual provider Active NPI

Anand Prem Rajani, D.O

  • Ophthalmology Physician
  • Rock Hill, SC
National Provider Identifier
1790097681
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
82300 Issued in SC
Practice address
1773 Ebenezer Rd
Rock Hill, SC 29732-1101
Phone
(803) 328-0168
NPI assigned
Jul 8, 2010
Last updated
Feb 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X OT013796 PA
Ophthalmology Physician 207W00000X OS12787 FL
Ophthalmology Physician 207W00000X 82300 SC Primary

Addresses

Primary practice location

1773 Ebenezer Rd
Rock Hill, SC 29732-1101

Mailing address

1773 Ebenezer Rd
Rock Hill, SC 29732-1101
Phone (803) 328-0168

Other identifiers 2

IdentifierTypeStateIssuer
HY036ZOtherFLMEDICARE
015857100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20200227002693 SC Practitioner - Ophthalmology 3274753223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Philadelphia College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rock Hill Eye Clinic PAGroup PAC ID 8921083502, 6 clinicians

Practice addresses (Care Compare)

1773 Ebenezer Rd
Rock Hill, SC 29732-1101
Phone (803) 328-0168

Merit-based Incentive Payment System (MIPS)

Final score
91.48 of 100Reported as group
Quality
91.19
Improvement activities
40
Cost
83.33

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery203

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT013796PAMDOphthalmology Physician
82300SCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rock Hill Eye Clinic, P.a. Ophthalmology CurrentSince Feb 1, 2020 Accepting new patients

Locations

1698 Highway 160 W
Ste 110
Fort Mill, SC 29708
Phone (803) 547-9510

1773 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 328-0168

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, 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": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1790097681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321101",
            "telephone_number": "803-328-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1773 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321101",
            "telephone_number": "803-328-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJANI",
        "first_name": "ANAND",
        "middle_name": "PREM",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-08",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "OT013796",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "OS12787",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "82300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "HY036Z",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015857100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.