Active NPI
Rajesh Gulati, MD
- Internal Medicine Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01056834A
- Practice address
- 1002 Wishard Blvd
4TH FL
Indianapolis, IN 46202-2872 - Phone
- (317) 692-2323
- Fax
- (317) 656-3967
- NPI assigned
- May 11, 2006
- Last updated
- Jul 22, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01056834A | IN | Primary |
Addresses
Primary practice location
1002 Wishard Blvd
4TH FL
Indianapolis, IN 46202-2872
Mailing address
8910 Purdue Rd
Ste.500
Indianapolis, IN 46268-6100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000258161 | Other | IN | ANTHEM |
| 200411650 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4500 Brockton Ave
Suite 305
Riverside, CA 92501-4027
Phone (951) 877-5874
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01056834A | IN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alertive Healthcare Medical Group Apc | Internal Medicine | Current | Accepting new patients |
| Medical Associates of East Al, PC | Past | Accepting new patients | |
| Iu Medical Group | Past | Accepting new patients |
Locations
4354 Latham St
Ste 100
Riverside, CA 92501
Phone (909) 787-1101
4500 Brockton Ave
Ste 305
Riverside, CA 92501
Phone (951) 466-6628
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Intellicare Medical
- Internal Medicine Physician
- Riverside, CA
- NPI 1467024331
-
dba UCR Health
- Family Medicine Physician
- Riverside, CA
- NPI 1811255060
-
- Adult Health Nurse Practitioner
- Indianapolis, IN
- NPI 1538435524
-
- Cardiovascular Disease Physician
- Valley, AL
- NPI 1376658476
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Riverside Community Hospital
- General Acute Care Hospital
- Riverside, CA
- NPI 1114971660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311292800000",
"number": "1013967108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8910 PURDUE RD",
"address_2": "STE.500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 WISHARD BLVD",
"address_2": "4TH FL",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462022872",
"telephone_number": "317-692-2323",
"fax_number": "317-656-3967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULATI",
"first_name": "RAJESH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2011-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01056834A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000258161",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200411650",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; 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.