Individual provider Active NPI

Vikrant Donthamsetti, D.O

  • Ophthalmology Physician
  • Warwick, RI
National Provider Identifier
1871895110
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
68195-21 Issued in WI
Practice address
566 Toll Gate Rd
Warwick, RI 02886-2716
Phone
(401) 738-4800
Fax
(401) 738-8153
NPI assigned
Nov 18, 2010
Last updated
Nov 1, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2017

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 DO00748 RI
Ophthalmology Physician 207W00000X 68195-21 WI Primary

Addresses

Primary practice location

566 Toll Gate Rd
Warwick, RI 02886-2716

Mailing address

PO Box 308
Neenah, WI 54957-0308
Phone (920) 886-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20190411000424 IL Practitioner - Ophthalmology 0345468559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Midwestern University, Chicago College of Osteopathic Med, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Eye CenterGroup PAC ID 3375525645, 8 clinicians

Practice addresses (Care Compare)

1700 E W Rd
Calumet City, IL 60409-5415
Phone (708) 891-3330

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery171

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO00748RIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Eye Center Ophthalmology CurrentSince Mar 1, 2019 Accepting new patients
Dekalb Eye Consultants, LLC Ophthalmology Past Accepting new patients

Locations

1700 E West Rd
Calumet City, IL 60409
Phone (708) 891-3330

2315 E 93rd St
Ste 400
Chicago, IL 60617
Phone (773) 374-1114

Interoperability endpoints

  • Direct secure messaging: vdonthamsetti197280@direct.myadvocateaurora.org
  • Direct secure messaging: vikrant.donthamsetti.p7@direct.hauserross.nextgenshare.com

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": "1290038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509494400000",
    "number": "1871895110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549570308",
            "telephone_number": "920-886-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862716",
            "telephone_number": "401-738-4800",
            "fax_number": "401-738-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONTHAMSETTI",
        "first_name": "VIKRANT",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-18",
        "last_updated": "2017-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "RI",
            "license": "DO00748",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "68195-21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.