NPIMap

Organization Active NPI

North Shore Eye Care, Inc

  • Ophthalmology Physician
  • Salem, MA
National Provider Identifier
1972890333
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
219933 Issued in MA
Legal business name
NORTH SHORE EYE CARE, INC
Practice address
116R Highland Ave
2ND FL
Salem, MA 01970
Phone
(978) 745-0654
Fax
(978) 745-7296
NPI assigned
Jul 6, 2011
Last updated
Jan 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Authorized official

Name
Ramakrishna V Gaddipati, M.D.NPI 1336111525
Title
Owner
Phone
(978) 745-0654

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 219933 MA Primary

Addresses

Primary practice location

116R Highland Ave
2ND FL
Salem, MA 01970

Mailing address

116R Highland Ave
2ND FL
Salem, MA 01970
Phone (978) 745-0654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120228000382 MA Part B Supplier - Clinic/Group Practice 1153589783 Receives reassigned benefits from 3 practitioners
Practice locations: Salem, MA

National Provider Directory

National Provider Directory

Locations

116R Highland Ave
Ste 2
Salem, MA 01970
Phone (978) 745-0654

Interoperability endpoints

  • Direct secure messaging: gaddipati.krishna.nsec@direct.partners.masshiway.net

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1972890333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116R HIGHLAND AVE",
            "address_2": "2ND FL",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "01970",
            "telephone_number": "978-745-0654",
            "fax_number": "978-745-7296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116R HIGHLAND AVE",
            "address_2": "2ND FL",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "01970",
            "telephone_number": "978-745-0654",
            "fax_number": "978-745-7296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE EYE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "GADDIPATI",
        "authorized_official_first_name": "RAMAKRISHNA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-745-0654",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "219933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.