Individual provider Active NPI

Rashi Sanjay Bedekar, MD

  • Internal Medicine Physician
  • Forest Hills, NY
National Provider Identifier
1104602275
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P123697 Issued in NY
Practice address
6970 Grand Central Pkwy
Forest Hills, NY 11375-3949
Phone
(973) 429-6196
NPI assigned
Sep 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P123697 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

6970 Grand Central Pkwy
Forest Hills, NY 11375-3949

Mailing address

6970 Grand Central Pkwy
Forest Hills, NY 11375-3949
Phone (718) 263-4600

Other practice location 1

1 Bay Avenue, Montclair
New Jersey, NJ 07042-4837
Phone (973) 429-6196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20250912002725 NJ Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 5294182713

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.25 of 100Reported as group
Quality
85.66
Promoting interoperability
100
Improvement activities
40
Cost
65.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P123697NYMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1104602275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6970 GRAND CENTRAL PKWY",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753949",
            "telephone_number": "718-263-4600",
            "fax_number": "212-849-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6970 GRAND CENTRAL PKWY",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753949",
            "telephone_number": "973-429-6196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Bay Avenue, Montclair",
            "address_purpose": "LOCATION",
            "city": "New Jersey",
            "state": "NJ",
            "postal_code": "070424837",
            "country_code": "US",
            "telephone_number": "973-429-6196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEDEKAR",
        "first_name": "RASHI",
        "middle_name": "SANJAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "P123697",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.