DR. SURESH MANDAVA (M.D.) – Ophthalmology Physician, NPI 1477551869

DR. SURESH MANDAVA (M.D.) is a healthcare provider. based in Stamford, Connecticut. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 036932 (CT). The NPI Number for DR. SURESH MANDAVA (M.D.) is 1477551869

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. SURESH MANDAVA (M.D.)
NPI
1477551869
Phone
(203) 869-3082
Address
2046 W MAIN ST STE 2
Enumeration Date
11 July 2005
Last Update Date
27 March 2018

Doctor Profile

Medical School Name
YALE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2038693082
Graduation Year
1993 (33 years ago)
PAC ID
0345317905
Group Practice PAC ID
5597176834
Professional Enrollment ID
I20100902001132
Address ID
CT069024523ST2046XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

324 OPHTHALMOLOGY in CT

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Provider Addresses for DR. SURESH MANDAVA (M.D.)

  • 2, West Main Street, Stamford, Fairfield County, Connecticut, 06902, United States

    STAMFORD, CT 069024523

    Phone: (203) 869-3082

    Fax: (203) 869-6453

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $273.

Total Amount is formed as General ($273) + Research ($0) + Ownership ($0) = $273.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Harrow Eye, LLC ($138).

Total Amount

$273

General + Research + Ownership

Payments

10

Total payment records

General Amount

$273

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100902001132IOphthalmologyCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92136Measurement of corneal curvature and depth of eye481291$0
66984Removal of cataract with insertion of prosthetic lens428268$0
99214Established patient office or other outpatient visit, 30-39 minutes296281$0
66821Removal of recurring cataract in lens capsule using a laser186145$0
99204New patient office or other outpatient visit, 45-59 minutes121121$0
View full utilization report →

Insurance plans in this area (ZIP 06902)

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Provider's Procedures

DR. SURESH MANDAVA (M.D.) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYCT92012Eye and medical examination for diagnosis and treatment, established patient348272
OPHTHALMOLOGYCT92083Measurement of field of vision during daylight conditions115106
OPHTHALMOLOGYCT92134Diagnostic imaging of retina185176

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597176834View full group profile
NameSpecialtyState
O P T O M E T R YCT
O P H T H A L M O L O G YCT
O P H T H A L M O L O G YCT
O P T O M E T R YCT
O P H T H A L M O L O G YCT
O P H T H A L M O L O G YCT
O P H T H A L M O L O G YNY
O P H T H A L M O L O G YCT
O P H T H A L M O L O G YCT
O P H T H A L M O L O G YCT

Reviews

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Frequently asked questions

How do payers reference DR. SURESH MANDAVA (M.D.)?
For DR. SURESH MANDAVA (M.D.), use NPI 1477551869 as the unique 10-digit identifier.
Would DR. SURESH MANDAVA (M.D.) appear as active to a payer?
You can treat DR. SURESH MANDAVA (M.D.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. SURESH MANDAVA (M.D.)?
DR. SURESH MANDAVA (M.D.) is associated with Ophthalmology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Connecticut is DR. SURESH MANDAVA (M.D.) registered?
Use Stamford, Connecticut as the headline location for DR. SURESH MANDAVA (M.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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