Individual provider Active NPI

Nisha Patel, O.D.

  • Optometrist
  • Londonderry, NH
National Provider Identifier
1871565770
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NH 0753 Issued in NH
Practice address
3 Orchard View Dr
Londonderry, NH 03053-6606
Phone
(603) 421-0022
Fax
(603) 421-0259
NPI assigned
Feb 3, 2006
Last updated
Nov 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NH 0753 NH Primary

Addresses

Primary practice location

3 Orchard View Dr
Londonderry, NH 03053-6606

Mailing address

3 Orchard View Dr
Londonderry, NH 03053-6606
Phone (603) 421-0022

Other identifiers 11

IdentifierTypeStateIssuer
020530670OtherNHMVP
09Y005190NH01OtherNHBC/BS NH
AA26378OtherNHHARVARD PILGRIM
020530670OtherNHMARTINS POINT
5232391OtherNHCIGNA
9379293OtherNHPHCS
020530670OtherNHTRICARE
30353616MedicaidNH
2495955OtherNHUNITED HEALTHCARE
3728354OtherNHAETNA
020530670OtherNHFIRST HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20040226000753 NH Practitioner - Optometry 0345136230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nutfield Ophthalmology PCGroup PAC ID 0840293031, 5 clinicians

Practice addresses (Care Compare)

3 Orchard View Dr
Londonderry, NH 03053-6606
Phone (603) 421-0022

Merit-based Incentive Payment System (MIPS)

Final score
94.85 of 100Reported as individual
Quality
89.71
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NH 0753NHMDOptometrist
0753NHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nutfield Ophthalmology, PC Optometrist PastSince May 8, 2018 Accepting new patients

Organizations & group practices 2

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351814400000",
    "number": "1871565770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ORCHARD VIEW DR",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030536606",
            "telephone_number": "603-421-0022",
            "fax_number": "603-421-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ORCHARD VIEW DR",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030536606",
            "telephone_number": "603-421-0022",
            "fax_number": "603-421-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NISHA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2012-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "NH 0753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "020530670",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS NH",
            "identifier": "09Y005190NH01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA26378",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARTINS POINT",
            "identifier": "020530670",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5232391",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9379293",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "020530670",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30353616",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2495955",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3728354",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "020530670",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Londonderry, NH

Sources for this page

Verify at the official NPI Registry.