Organization Active NPI

Retina Vitreous of PA LLC

  • Retina Specialist (Ophthalmology) Physician
  • Clarks Summit, PA
National Provider Identifier
1851112676
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
Legal business name
RETINA VITREOUS OF PA LLC
Practice address
210 N State St Ste 3
Clarks Summit, PA 18411-1008
Phone
(570) 587-7500
NPI assigned
Oct 23, 2024
Last updated
Apr 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Dr. Ajey Shashikant Alurkar, MDNPI 1043431026
Title
Director of Retina Service
Phone
(570) 587-7500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X Primary

Addresses

Primary practice location

210 N State St Ste 3
Clarks Summit, PA 18411-1008

Mailing address

210 N State St
Suite 1, 3 and 5 .
Clarks Summit, PA 18411-1008
Phone (570) 587-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241119002969 PA Part B Supplier - Clinic/Group Practice 6103351788 Receives reassigned benefits from 1 practitioner
Practice locations: Clarks Summit, PA; Hazle Township, PA; Honesdale, PA

National Provider Directory

National Provider Directory

Locations

210 N State St
Ste 1
Clarks Summit, PA 18411

210 N State St
Ste 3
Clarks Summit, PA 18411
Phone (570) 319-1227

Interoperability endpoints

  • Direct secure messaging: aalurkar@rvpa.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1851112676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N STATE ST",
            "address_2": "SUITE 1, 3 AND 5 .",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111008",
            "telephone_number": "570-587-7500",
            "fax_number": "570-587-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N STATE ST STE 3",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111008",
            "telephone_number": "570-587-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA VITREOUS OF PA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-23",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "ALURKAR",
        "authorized_official_first_name": "AJEY",
        "authorized_official_middle_name": "SHASHIKANT",
        "authorized_official_title_or_position": "DIRECTOR OF RETINA SERVICE",
        "authorized_official_telephone_number": "570-587-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarks Summit, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.