Individual provider Active NPI

Rajendra K. Motwani, DO

  • Urology Physician
  • Oklahoma City, OK
National Provider Identifier
1013950740
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
3478 Issued in OK
Practice address
9817 S Western Ave
Oklahoma City, OK 73139-2812
Phone
(405) 632-4500
Fax
(405) 632-7500
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 3478 OK Primary

Addresses

Primary practice location

9817 S Western Ave
Oklahoma City, OK 73139-2812

Mailing address

9817 S Western Ave
Oklahoma City, OK 73139-2812
Phone (405) 632-4500

Other identifiers 1

IdentifierTypeStateIssuer
100167910BMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220312000035 TX Practitioner - Urology 7810886272 Reassigns benefits to 1 organization
I20230215002265 VA Practitioner - Urology 7810886272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of North Texas HSC, College of Osteopathic Med, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinch Professional Physician Services LLCGroup PAC ID 9436259223, 45 clinicians

Practice addresses (Care Compare)

6719 Governor GC Peery Hwy
Suite 1000
Richlands, VA 24641-0280
Phone (276) 596-6715

Hospital & facility affiliations

  • Clinch Valley Medical Center Hospital, Richlands, VA, CCN 490060

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Clinch Professional Physician Services LLC CurrentSince Dec 19, 2022 Accepting new patients
Hendrick Provider Network CurrentSince Apr 1, 2022 Accepting new patients
Hendrick Provider Network CurrentSince Apr 1, 2022 Accepting new patients
Clinch Professional Physician Services LLC Urology CurrentSince Dec 19, 2022 Accepting new patients
Norman Regional Providers Primary Care Past Accepting new patients
Surgical Hospital of Oklahoma LLC PastSince Apr 30, 2003 Accepting new patients
Surgical Specialists of Oklahoma PLLC Past Accepting new patients
Clinch Valley Urology, LLC Urology Past Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

1904 Pine St
Ste 3A
Abilene, TX 79601
Phone (325) 670-6180

6719 Governor Gc Peery Hwy
Ste 1000
Richlands, VA 24641
Phone (276) 596-6715

6719 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 596-6725

6719 Governor Gc Peery Hwy
Ste 2450
Richlands, VA 24641
Phone (276) 596-6786

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Interoperability endpoints

  • Direct secure messaging: rajendra.motwani.1@19847.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1013950740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9817 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731392812",
            "telephone_number": "405-632-4500",
            "fax_number": "405-632-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9817 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731392812",
            "telephone_number": "405-632-4500",
            "fax_number": "405-632-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTWANI",
        "first_name": "RAJENDRA",
        "middle_name": "K.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OK",
            "license": "3478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100167910B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.