Individual provider Active NPI

Rajesh Gulati, MD

  • Internal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1013967108
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01056834A Issued in IN
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000258161OtherINANTHEM
200411650MedicaidIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110609000024 CA Practitioner - Internal Medicine 7810947561 Reassigns benefits to 2 organizations

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
Alertive Healthcare Medical Group ApcGroup PAC ID 9335543974, 39 clinicians

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

LicenseStateTypeSpecialty
01056834AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alertive Healthcare Medical Group Apc Internal Medicine CurrentSince Nov 1, 2025 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.

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": "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

Verify at the official NPI Registry.