Rachna Gulati, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME-89934 Issued in FL

Practice address

6950 Outreach Way
North Port, FL 34287-3405

Phone

(901) 825-7297

Fax

(941) 861-3829

NPI assigned

Jun 30, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rachna.gulati@fpg.directbygreenway.com
• Direct secure messaging: rachna.gulati.p1@direct.bondclinicpa.nextgenshare.com

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.

• SMH Physician Services Inc

  • Internal Medicine Physician
  • Sarasota, FL
  • NPI 1346295292

  Pediatrics

  Medicare reassignment NPD
• Bond Urgent Care LLC

  • Urgent Care Clinic/Center
  • Winter Haven, FL
  • NPI 1235641739
  NPD (past)

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1104823640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863407",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328863407",
            "telephone_number": "941-917-2600",
            "fax_number": "941-917-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 OUTREACH WAY",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342873405",
            "telephone_number": "901-825-7297",
            "fax_number": "941-861-3829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Miami Ave E",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342852407",
            "country_code": "US",
            "telephone_number": "941-408-0088",
            "fax_number": "941-480-0006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GULATI",
        "first_name": "RACHNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME-89934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2697963-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lee S Gross, MD
• Kimberly Lynne Grossano
• Guardian Pharmacy of Southwest Florida LLC
• Jordan Alexus Guido-Carrillo, PA-C
• Mia Guild
• Gulf Breeze Behavior Analytic Services and Consultation LLC
• Gulf Coast Behavioral Health LLC
• Gulf Coast Hma Physician Management LLC
• Gulf Coast Hma Physician Management LLC
• Gulf Coast Hma Physician Management LLC

• Pediatrics Physician in North Port, FL
• Providers in North Port, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.