Individual provider Active NPI

Mirela Krasniqi, M.D.

  • Ophthalmology Physician
  • Ridgefield, CT
National Provider Identifier
1801113733
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
57020460 Issued in CT
Practice address
38B Grove St Ste C
Ridgefield, CT 06877-4665
Phone
(917) 892-0222
NPI assigned
May 3, 2010
Last updated
Jan 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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 MD206881 LA
Ophthalmology Physician 207W00000X 57020460 CT Primary

Addresses

Primary practice location

38B Grove St Ste C
Ridgefield, CT 06877-4665

Mailing address

38B Grove St # LC
Ridgefield, CT 06877-4665
Phone (203) 403-3375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20150903001366 CT Practitioner - Ophthalmology 0941522767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York at Buffalo School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

38 B Grove St
Suite LC
Ridgefield, CT 06877-4665
Phone (203) 403-3375

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery179
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57020460CTMDOphthalmology Physician
MD206881LAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgefield Eye Physicians & Surgeons PLLC CurrentSince Mar 1, 2018 Accepting new patients
Primary Eye Care Center, PC Ophthalmology CurrentSince Sep 1, 2015 Accepting new patients
Shteg.Ai PastSince Mar 1, 2018 Accepting new patients

Locations

4 Northwestern Dr
Bloomfield, CT 06002
Phone (860) 243-2969

38B Grove St
Ste C
Ridgefield, CT 06877
Phone (917) 892-0222

38B Grove St
Ste Lc
Ridgefield, CT 06877
Phone (203) 403-3375

38B Grove St
Ridgefield, CT 06877
Phone (203) 438-0458

1080 Day Hill Rd
Ste 301
Windsor, CT 06095
Phone (860) 386-8970

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, 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": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1801113733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38B GROVE ST # LC",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774665",
            "telephone_number": "203-403-3375",
            "fax_number": "203-403-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38B GROVE ST STE C",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774665",
            "telephone_number": "917-892-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASNIQI",
        "first_name": "MIRELA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-03",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "MD206881",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "57020460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

Verify at the official NPI Registry.