Individual provider Active NPI

Prachi Dua, M.D.

  • Cornea and External Diseases Specialist Physician
  • Andover, MA
National Provider Identifier
1922341247
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X
License
1022308 Issued in MA
Practice address
138 Haverhill St Ste 104
Andover, MA 01810-1584
Phone
(978) 475-0705
NPI assigned
Apr 4, 2013
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cornea and External Diseases Specialist Physician 207WX0120X 283047 NY
Cornea and External Diseases Specialist Physician 207WX0120X 1022308 MA Primary

Addresses

Primary practice location

138 Haverhill St Ste 104
Andover, MA 01810-1584

Mailing address

148 Marlborough St Apt 3F
Boston, MA 02116-1926
Phone (516) 946-4348

Other practice location 1

210 E 64th St
New York, NY 10065
Phone (212) 702-7611

Other practice location 2

600 Northern Blvd Ste 214
Great Neck, NY 11021-5200
Phone (516) 470-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181218003094 NY Practitioner - Ophthalmology 7416292537 Reassigns benefits to 1 organization
I20250619002330 MA Practitioner - Ophthalmology 7416292537 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
Andover Eye Associates IncGroup PAC ID 4486627866, 11 clinicians

Practice addresses (Care Compare)

138 Haverhill St
Suite 104
Andover, MA 01810-1501
Phone (978) 475-0705

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1022308MAMDCornea and External Diseases Specialist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Oct 27, 2018 Accepting new patients
Andover Eye Associates, Inc CurrentSince Jun 10, 2025 Accepting new patients

Locations

138 Haverhill St
Ste 104
Andover, MA 01810
Phone (508) 475-0705

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

600 Northern Blvd
Ste 214
Great Neck, NY 11021
Phone (516) 465-8460

300 Community Dr
Manhasset, NY 11030

210 E 64th St
New York, NY 10065
Phone (212) 434-4312

972 Brush Hollow Rd
Westbury, NY 11590

Interoperability endpoints

  • Direct secure messaging: pdua292183@nychhc.direct-ci.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": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1922341247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 MARLBOROUGH ST APT 3F",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021161926",
            "telephone_number": "516-946-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 HAVERHILL ST STE 104",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018101584",
            "telephone_number": "978-475-0705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 E 64th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10065",
            "country_code": "US",
            "telephone_number": "212-702-7611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Northern Blvd Ste 214",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "110215200",
            "country_code": "US",
            "telephone_number": "516-470-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUA",
        "first_name": "PRACHI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-04",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "NY",
            "license": "283047",
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "MA",
            "license": "1022308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

Verify at the official NPI Registry.