NIKETHA AJODHA
NPI 1508147612
Optometrist in Riverdale, GA
About Niketha Ajodha NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NIKETHA AJODHA (NPI 1508147612) is an individual optometrist in Riverdale, Georgia, licensed in Georgia (OPT002664) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Niketha Ajodha is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Niketha Ajodha reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Roswell, GA 30075
- Reassigned Medicare billing, Georgia enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30274 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Niketha Ajodha's NPI number?
The NPI number for Niketha Ajodha is 1508147612. It was assigned to this individual provider in the NPPES registry on September 1, 2011.
Where is Niketha Ajodha located?
Niketha Ajodha practices at 7050 Highway 85, Riverdale, GA 30274. The listed phone number is (770) 994-1670.
What is Niketha Ajodha's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Niketha Ajodha enrolled in Medicare?
Yes. Niketha Ajodha is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Niketha Ajodha's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Niketha Ajodha reassigns Medicare benefits to Tara Fowler Optometric Corporation (Roswell, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Niketha Ajodha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Niketha Ajodha accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Niketha Ajodha as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Niketha Ajodha was last updated on September 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Niketha Ajodha · NPI 1508147612
Optometrist provider in Riverdale, Georgia. Individual provider, active in the CMS NPPES registry since September 1, 2011.
## Identity
- **NPI:** 1508147612 (Entity type: Individual)
- **Enumerated:** September 1, 2011
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OPT002664 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 7050 HIGHWAY 85, Riverdale, GA 30274-2946
- **Phone:** (770) 994-1670
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Tara Fowler Optometric Corporation (NPI 1184851800, Roswell, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 20, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1508147612) · Data from the CMS NPPES public registry.