Individual provider Active NPI

Abhilash Guduru

  • Ophthalmology Physician
  • Nashville, TN
National Provider Identifier
1841722394
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
65665 Issued in TN
Practice address
1801 W End Ave Ste 1150
Nashville, TN 37203-2528
Phone
(615) 321-8881
NPI assigned
Apr 3, 2017
Last updated
Oct 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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 65665 TN Primary

Addresses

Primary practice location

1801 W End Ave Ste 1150
Nashville, TN 37203-2528

Mailing address

1801 W End Ave Ste 1150
Nashville, TN 37203-2528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20220809001475 TN Practitioner - Ophthalmology 1355618018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of North Carolina at Chapel Hill School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wang Vision Institute, PLLCGroup PAC ID 4183775125, 4 clinicians

Practice addresses (Care Compare)

1801 W End Ave
Suite 1150
Nashville, TN 37203-2528
Phone (615) 321-8881

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery183

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65665TNMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Wang Vision Institute, PLLC Ophthalmology CurrentSince Oct 1, 2022 Accepting new patients

Locations

1801 West End Ave
Ste 1150
Nashville, TN 37203
Phone (615) 321-8881

Interoperability endpoints

  • Direct secure messaging: aguduru@wangvisioninstitute.imwdirect.com
  • FHIR API: https://app.meldrx.com/api/fhir/imedicware_wang_vision

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": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1841722394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W END AVE STE 1150",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W END AVE STE 1150",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032528",
            "telephone_number": "615-321-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDURU",
        "first_name": "ABHILASH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "65665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.