Individual provider Active NPI

Rajan Narula, D.O.

  • Gastroenterology Physician
  • Wesley Chapel, FL
National Provider Identifier
1104021039
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
OS 10833 Issued in FL
Practice address
2050 Ashley Oaks Cir Ste 102
Wesley Chapel, FL 33544-6415
Phone
(813) 994-4800
Fax
(813) 994-4888
NPI assigned
Jun 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X OS 10833 FL Primary

Addresses

Primary practice location

2050 Ashley Oaks Cir Ste 102
Wesley Chapel, FL 33544-6415

Mailing address

2050 Ashley Oaks Cir Ste 102
Wesley Chapel, FL 33544-6415
Phone (813) 994-4800

Other identifiers 2

IdentifierTypeStateIssuer
OS 10833OtherFLSTATE LICENSURE
036-118540OtherILIL STATE LIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20111202000278 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 1153421573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Disease Associates of Central FloridaGroup PAC ID 2062696792, 2 clinicians

Practice addresses (Care Compare)

2050 Ashley Oaks Cir
Suite 102
Wesley Chapel, FL 33544-6415
Phone (813) 994-4800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy64
Upper gastrointestinal (GI) endoscopy for acid reflux159

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS 10833FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Disease Associates of Central Florida Gastroenterology CurrentSince Dec 1, 2017 Accepting new patients
Perwaiz Rahim MD PA PastSince Jan 19, 2025 Accepting new patients

Locations

4712 Exploration Ave
Lakeland, FL 33812
Phone (863) 534-3707

2050 Ashley Oaks Cir
Ste 102
Wesley Chapel, FL 33544
Phone (813) 994-4800

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHACBA/Endpoint/GHACBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/GHACBA

Organizations & group practices 2

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 6

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": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1104021039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 ASHLEY OAKS CIR STE 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446415",
            "telephone_number": "813-994-4800",
            "fax_number": "813-994-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 ASHLEY OAKS CIR STE 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446415",
            "telephone_number": "813-994-4800",
            "fax_number": "813-994-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARULA",
        "first_name": "RAJAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "OS 10833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "OS 10833",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL STATE LIC",
            "identifier": "036-118540",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.