DR. JEETANDRA M. ATHELLI (O.D.) – Optometrist, NPI 1902808181

DR. JEETANDRA M. ATHELLI (O.D.) is a healthcare provider. based in Warrenton, Virginia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 0618000308 (VA). The NPI Number for DR. JEETANDRA M. ATHELLI (O.D.) is 1902808181

Main info

Male
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEETANDRA M. ATHELLI (O.D.)
NPI
1902808181
Phone
(540) 347-2217
Address
400 HOLIDAY CT 207
Enumeration Date
1 June 2005
Last Update Date
8 July 2015

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Secondary Phone
5403472217
Graduation Year
1993 (33 years ago)
PAC ID
8426128695
Professional Enrollment ID
I20111005000716
Address ID
VA201864349WA400XXCTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

1,052 OPTOMETRY in VA

Provider Addresses for DR. JEETANDRA M. ATHELLI (O.D.)

  • Holiday Court, Warrenton, Fauquier County, Virginia, 20188, United States

    WARRENTON, VA 201864349

    Phone: (540) 347-2217

    Fax: (540) 347-0801

    Type: Mailing

  • 14161A ROBERT PARIS CT

    CHANTILLY, VA 201514204

    Phone: (703) 631-0014

    Fax: (703) 449-8770

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-10-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20080529000912IOptometryDCTBD
I20111005000716IOptometryVATBD

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
92014Established patient complete exam of visual system138137$0
99213Established patient office or other outpatient visit, 20-29 minutes4430$0
View full utilization report →

Insurance plans in this area (ZIP 20186)

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Reviews

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Frequently asked questions

What unique ID ties claims to DR. JEETANDRA M. ATHELLI (O.D.)?
NPI 1902808181 is assigned to DR. JEETANDRA M. ATHELLI (O.D.) under the national enumeration system.
Is DR. JEETANDRA M. ATHELLI (O.D.) currently active in the NPI registry?
CMS-published data lists DR. JEETANDRA M. ATHELLI (O.D.) as an active registrant.
What does DR. JEETANDRA M. ATHELLI (O.D.) treat or focus on?
Patients typically see DR. JEETANDRA M. ATHELLI (O.D.) under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
Does DR. JEETANDRA M. ATHELLI (O.D.) practice in Virginia?
You will see Warrenton, Virginia on file for DR. JEETANDRA M. ATHELLI (O.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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