Individual provider Active NPI

Padmini Nathan, O.D.

  • Optometrist
  • Frederick, MD
National Provider Identifier
1861550592
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA0842 Issued in MD
Practice address
73 Thomas Johnson Drive
Suite 1
Frederick, MD 21702-4301
Phone
(301) 662-1601
Fax
(301) 695-9149
NPI assigned
Dec 5, 2006
Last updated
Mar 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA0842 MD Primary
Corneal and Contact Management Optometrist 152WC0802X TA0842 MD

Addresses

Primary practice location

73 Thomas Johnson Drive
Suite 1
Frederick, MD 21702-4301

Mailing address

73 Thomas Johnson Drive
Suite 1
Frederick, MD 21702-4301
Phone (301) 662-1601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120514000071 MD Practitioner - Optometry 7214953165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Maryland Professional LLCGroup PAC ID 7618316902, 20 clinicians

Practice addresses (Care Compare)

73 Thomas Johnson Dr
Frederick, MD 21702-4426
Phone (301) 662-1601

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA0842MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Padmini R Nathan, Optometrists, P.a. Optometrist CurrentSince Oct 1, 1995 Accepting new patients
Aeg Maryland Professional LLC Optometrist CurrentSince Dec 27, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

409 W Cold Spring Ln
Baltimore, MD 21210
Phone (410) 243-5656

73 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 662-1601

73 Thomas Johnson Dr
Ste 1
Frederick, MD 21702
Phone (301) 662-1601

73 Thomas Johnson Dr
Ste A
Frederick, MD 21702
Phone (301) 662-1601

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.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1861550592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 THOMAS JOHNSON DRIVE",
            "address_2": "SUITE 1",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024301",
            "telephone_number": "301-662-1601",
            "fax_number": "301-695-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 THOMAS JOHNSON DRIVE",
            "address_2": "SUITE 1",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024301",
            "telephone_number": "301-662-1601",
            "fax_number": "301-695-9149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHAN",
        "first_name": "PADMINI",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA0842",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MD",
            "license": "TA0842",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.