Individual provider Active NPI

Swarupa Kancherla, M.D.

  • Ophthalmology Physician
  • Baltimore, MD
National Provider Identifier
1891135737
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2018-01658 Issued in NC
Practice address
600 N Wolfe St
Baltimore, MD 21287-0005
Phone
(410) 955-5214
NPI assigned
Jun 25, 2013
Last updated
Jun 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X RS2016-0587 NM
Ophthalmology Physician 207W00000X 2018-01658 NC Primary
Ophthalmology Physician 207W00000X D0083351 MD
Ophthalmology Physician 207W00000X 125063328 IL

Addresses

Primary practice location

600 N Wolfe St
Baltimore, MD 21287-0005

Mailing address

3320 Executive Dr
Ste 111
Raleigh, NC 27609-7445

Other practice location 1

Msc Ophthalmology 1 University Of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-6225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210202002767 OH Practitioner - Ophthalmology 7113150822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Eye Care, Inc.Group PAC ID 6103850581, 11 clinicians
Cei Physicians PSC, LLCGroup PAC ID 0749186427, 155 clinicians

Practice addresses (Care Compare)

15840 Medical Dr S
Suite a
Findlay, OH 45840-7833
Phone (419) 422-6190

5965 E Broad St
Suite 480
Columbus, OH 43213-1562
Phone (614) 526-6203

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery167

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125063328ILMDOphthalmology Physician
D0083351MDMDOphthalmology Physician
2018-01658NCMDOphthalmology Physician
RS2016-0587NMMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Cei Physicians PSC, LLC CurrentSince Apr 1, 2021 Accepting new patients
Cei Physicians PSC LLC Ophthalmology CurrentSince Apr 1, 2021 Accepting new patients
Cei Physicians PSC LLC Past Accepting new patients

Locations

1945 Cei Dr
Blue Ash, OH 45242

5965 E Broad St
Ste 420
Columbus, OH 43213
Phone (614) 868-5185

5965 E Broad St
Ste 480
Columbus, OH 43213
Phone (614) 751-4070

5155 Bradenton Ave
Ste 200
Dublin, OH 43017
Phone (614) 526-6209

1450 Columbus Ave
Ste 106
Wshngtn Ct Hs, OH 43160
Phone (614) 766-2006

Interoperability endpoints

  • Direct secure messaging: swarupa.kancherla.p1@direct.cei.nextgenshare.com

Organizations & group practices 4

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": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1891135737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 EXECUTIVE DR",
            "address_2": "STE 111",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N WOLFE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870005",
            "telephone_number": "410-955-5214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Msc Ophthalmology 1 University Of New Mexico",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "505-272-6225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANCHERLA",
        "first_name": "SWARUPA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": "RS2016-0587",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2018-01658",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0083351",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "125063328",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.