Nagaraju Kemidi, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA2154 Issued in MD

Practice address

1725 Dual Hwy
Hagerstown, MD 21740-6653

Phone

(301) 739-6573

Fax

(301) 739-6577

NPI assigned

Jul 13, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, WV2 enrollments

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 2

Specialty

Optometry

Education

New England College of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision 2020Group PAC ID 9638503600, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Vision 2020

  • Optometrist
  • Hagerstown, MD
  • NPI 1013559673

  WV

  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Maryland, LLC

  • Optometrist
  • Waldorf, MD
  • NPI 1609204437
  Medicare reassignment NPD
• Myeyedr Optometry of Maryland, LLC

  • Optometrist
  • Bel Air, MD
  • NPI 1114397908
  NPD
• Myeyedr Optometry of Maryland, LLC

  • Optometrist
  • Laurel, MD
  • NPI 1972900058
  NPD
• Allegany Optical LLC

  • Optometrist
  • Hagerstown, MD
  • NPI 1790927291
  NPD (past)
• Longmeadow Eyecare Incorporated

  • Eyewear Supplier
  • Hagerstown, MD
  • NPI 1417944299

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1962631838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD",
            "address_2": "STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "703-991-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 DUAL HWY",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406653",
            "telephone_number": "301-739-6573",
            "fax_number": "301-739-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMIDI",
        "first_name": "NAGARAJU",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-13",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kelley, LCSW-C
• Denise M Kellogg, PTA
• Annick Sheron Kelly, DNP, PMHNP-BC
• Kathleen M Kelly
• Lasonya Kelly, LGSW
• Christine C Kent, NP
• Sharon Marie Keplinger, MA, CAS
• Cynthia Kerns
• Hannah Lee Kerns, NP
• Melissa M. Kershner, CRNP

• Optometrist in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.