Rahul Navin Mediwala

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

12845 Issued in NV

Practice address

1500 E 2ND St
Suite 201
Reno, NV 89502-1262

Phone

(775) 982-3355

Fax

(775) 982-3356

NPI assigned

Jun 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

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 1

Specialty

NephrologyAlso: Internal Medicine

Education

Baylor College of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Care Services LLCGroup PAC ID 1951324318, 630 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.15 of 100Reported as group

Quality

79.09

Promoting interoperability

100

Improvement activities

40

Cost

71.43

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rmediwala863@direct.renown.org

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.

• Community Care Services LLC

  • Internal Medicine Physician
  • Reno, NV
  • NPI 1720031768

  Nephrology

  Medicare reassignment Care Compare group NPD
• Community Care Services LLC

  • Diagnostic Radiology Physician
  • Reno, NV
  • NPI 1053272989
  NPD
• Routt Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Carson City, NV
  • NPI 1669612347
  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258934400000",
    "number": "1003854597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 KUENZLI ST",
            "address_2": "SUITE 202",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895020845",
            "telephone_number": "775-982-4590",
            "fax_number": "775-982-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E 2ND ST",
            "address_2": "SUITE 201",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021262",
            "telephone_number": "775-982-3355",
            "fax_number": "775-982-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDIWALA",
        "first_name": "RAHUL",
        "middle_name": "NAVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2009-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35082124",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "TP512",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NV",
            "license": "12845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11557200",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Medina
• Maria Medina
• Marlen Medina
• Mary Elizabeth Medina, APRN
• Rena Medina
• Citlally Lizeth Medrano
• Medtech Services Inc
• Medtrans Behavioral Nevada Casal, PLLC
• Medtrans Faylona LLC
• Medtrans Faylona LLC

• Nephrology Physician in Reno, NV
• Providers in Reno, NV by specialty
• Nephrology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.