NPIMap

Individual provider Active NPI

Rahul Gor, DPM

  • Podiatrist
  • Laurel, MD
National Provider Identifier
1083665640
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
01371 Issued in MD
Practice address
14201 Laurel Park Dr Ste 102a
Laurel, MD 20707-5203
Phone
(301) 604-9793
Fax
(888) 272-4284
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 01371 MD Primary

Addresses

Primary practice location

14201 Laurel Park Dr Ste 102a
Laurel, MD 20707-5203

Mailing address

14201 Laurel Park Dr Ste 102a
Laurel, MD 20707-5203
Phone (301) 604-9793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040723000740 DC Practitioner - Podiatry 3870573397 Reassigns benefits to 1 organization
I20061003000560 MD Practitioner - Podiatry 3870573397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14201 Laurel Park Dr
Suite 102a
Laurel, MD 20707-5203
Phone (301) 604-9793

6442 Belleview Dr
Columbia, MD 21046-1015
Phone (301) 604-9793

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue23
Removal of nail tissue5392
Removal or shaving of skin growth330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Podiatry Center LLC Podiatrist CurrentSince Jun 26, 2005 Accepting new patients
Professional Management Services, LLC Podiatrist Past Accepting new patients
Wecare Practice LLC PastSince Oct 15, 2025 Accepting new patients
Chase Brexton Health Services, Inc. PastSince Jan 1, 2017 Accepting new patients
Professional Management Services, LLC Past Accepting new patients

Locations

14201 Laurel Park Dr
Ste 102A
Laurel, MD 20707
Phone (301) 490-6341

9811 Mallard Dr
Ste 207
Laurel, MD 20708
Phone (202) 926-6763

14201 Laurel Park Dr
Ste 102
Laurel, MD 20707
Phone (301) 490-0616

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Chase Brexton Health Services IncColumbia, MD, CCN 211855 Federally qualified health center Corporate Director (5%) Jan 1, 2017
Chase Brexton Health CareEaston, MD, CCN 211864 Federally qualified health center Corporate Director (5%) Jan 1, 2017
Chase Brexton Health CareBaltimore, MD, CCN 211819 Federally qualified health center Corporate Director (5%) Jan 1, 2017
Chase Brexton Health Services IncWindsor Mill, MD, CCN 211850 Federally qualified health center Corporate Director (5%) Jan 1, 2019
Chase Brexton Health CareColumbia, MD, CCN 211893 Federally qualified health center Corporate Director (5%) Jan 1, 2019
Chase Brexton Health Services IncGlen Burnie, MD, CCN 211897 Federally qualified health center Corporate Director (5%) Jan 1, 2017

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1083665640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 LAUREL PARK DR STE 102A",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075203",
            "telephone_number": "301-604-9793",
            "fax_number": "888-272-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 LAUREL PARK DR STE 102A",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075203",
            "telephone_number": "301-604-9793",
            "fax_number": "888-272-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOR",
        "first_name": "RAHUL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.