Prachi Nilesh Pathak, O. D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

I3-0001350 Issued in DE

Practice address

885 S Governors Ave
Dover, DE 19904-4158

Phone

(302) 734-5861

Fax

(302) 734-1921

NPI assigned

Jan 7, 2011

Last updated

Jun 23, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in DE

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

Specialty

Optometry

Education

New England College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Physicians and Surgeons, PAGroup PAC ID 4981780921, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.45 of 100Reported as group

Quality

100

Improvement activities

40

Cost

74.82

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eye Physicians & Surgeons, PA

  • Ophthalmology Physician
  • Wilmington, DE
  • NPI 1972695435

  Optometrist

  Medicare reassignment Care Compare group NPD
• Eye Physicians & Surgeons, PA

  • Ophthalmology Physician
  • Newark, DE
  • NPI 1952141681

  Optometrist

  NPD

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308787200000",
    "number": "1952605743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 S GOVERNORS AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044158",
            "telephone_number": "302-734-5861",
            "fax_number": "302-734-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 S GOVERNORS AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044158",
            "telephone_number": "302-734-5861",
            "fax_number": "302-734-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATHAK",
        "first_name": "PRACHI",
        "middle_name": "NILESH",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-07",
        "last_updated": "2011-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I3-0001350",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I4-0000054",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HALPERN EYE ASSO GROUP MEDICARE",
            "identifier": "G00016",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12186947",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HALPERN OPTHAMOLOGY ASSO GROUP NPI",
            "identifier": "1346430360",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN HEA",
            "identifier": "803261H16",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN HALPERN MEDICAL SERVICES",
            "identifier": "803261H47",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HALPERN OPTHAMOLOGY ASSO GROUP MEDICARE ID",
            "identifier": "G01047",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DE-PERMANENT LICENSE EFF 02072011",
            "identifier": "I3-0001350",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HALPERN EYE ASSOCIATES GROUP NPI",
            "identifier": "1245251313",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIUAL NPI",
            "identifier": "1952605743",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Priti V Patel, OD
• Romy Patel, PA-C
• Sanjeev B Patel, MD
• Sharad Patel, M.D.
• Vaman Kanu Patel, PT, DPT
• Prarthana Pravin Patkar, MD
• Patterson Counseling Services Inc
• Tiffany Patterson, LCSW
• Archana Patwari, RPH
• Matthew D Patzek, MSN, PMHNP-BC

• Optometrist in Dover, DE
• Providers in Dover, DE by specialty
• Optometrist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.