Individual provider Active NPI

Avinash Honasoge, MD, PHD

  • Retina Specialist (Ophthalmology) Physician
  • Brentwood, MO
National Provider Identifier
1962852889
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
2020011232 Issued in MO
Practice address
1600 S Brentwood Blvd Ste 700
Brentwood, MO 63144-1304
Phone
(314) 367-1181
Fax
(314) 968-5117
NPI assigned
Jun 22, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 036152929 IL
Retina Specialist (Ophthalmology) Physician 207WX0107X 2020011232 MO Primary

Addresses

Primary practice location

1600 S Brentwood Blvd Ste 700
Brentwood, MO 63144-1304

Mailing address

8820 Ladue Rd Ste 203
Saint Louis, MO 63124-2080
Phone (314) 367-1181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 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
I20200615001260 MO Practitioner - Ophthalmology 6901192780 Reassigns benefits to 1 organization
I20200721001403 IL Practitioner - Ophthalmology 6901192780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Alabama School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Consultants LLCGroup PAC ID 9537259957, 16 clinicians

Practice addresses (Care Compare)

1009 42ND St
Suite 3
Mt Vernon, IL 62864-6218
Phone (314) 367-1181

1600 S Brentwood Blvd
Suite 700
Brentwood, MO 63144-1304
Phone (314) 367-1181

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179

Merit-based Incentive Payment System (MIPS)

Final score
90.24 of 100Reported as group
Quality
95.45
Promoting interoperability
72
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, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
036152929ILMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Consultants, LLC Retina Specialist CurrentSince Jul 6, 2020 Accepting new patients
River Rock Behavioral Health, LLC CurrentSince Sep 8, 2024 Accepting new patients
The Retina Institute LLC Ophthalmology PastSince Jul 6, 2020 Accepting new patients

Locations

903 Medical Park Dr
Effingham, IL 62401
Phone (217) 347-2933

5 Country Club Executive Park
#P
Glen Carbon, IL 62034
Phone (800) 888-0011

5 Country Club Executive Park
Glen Carbon, IL 62034
Phone (314) 567-7771

1009 S 42nd St
Ste 3
Mount Vernon, IL 62864
Phone (618) 244-6161

1125 Hampshire St
Quincy, IL 62301
Phone (217) 222-3937

1600 S Brentwood Blvd
Ste 700
Brentwood, MO 63144

226 S Woods Mill Rd
Ste 50W
Chesterfield, MO 63017

140 Westmount Dr
Farmington, MO 63640
Phone (573) 756-2020

175 Shinn Ln
Hannibal, MO 63401
Phone (573) 248-0008

1600 S Brentwood Blvd
Ste 800
Saint Louis, MO 63144

2201 S Brentwood Blvd
Saint Louis, MO 63144
Phone 31436711812267

8820 Ladue Rd
Ste 203
Saint Louis, MO 63124
Phone 31436711812267

5770 Mexico Rd
Ste D
Saint Peters, MO 63376
Phone (314) 842-2020

232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1962852889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 LADUE RD STE 203",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631242080",
            "telephone_number": "314-367-1181",
            "fax_number": "314-968-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S BRENTWOOD BLVD STE 700",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "631441304",
            "telephone_number": "314-367-1181",
            "fax_number": "314-968-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONASOGE",
        "first_name": "AVINASH",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "IL",
            "license": "036152929",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MO",
            "license": "2020011232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, MO

Sources for this page

Verify at the official NPI Registry.