NPIMap

Individual provider Active NPI

Rajeswara R. Patcha, MD

  • Interventional Cardiology Physician
  • Huntington, NY
National Provider Identifier
1104829407
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
147275 Issued in NY
Practice address
172 E Main St
Huntington, NY 11743-2948
Phone
(631) 385-0022
Fax
(631) 385-0896
NPI assigned
May 31, 2005
Last updated
Mar 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 147275 NY
Interventional Cardiology Physician 207RI0011X 147275 NY Primary

Addresses

Primary practice location

172 E Main St
Huntington, NY 11743-2948

Mailing address

172 E Main St
Huntington, NY 11743-2948
Phone (631) 385-0022

Other identifiers 1

IdentifierTypeStateIssuer
00767395MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051212000134 NY Practitioner - Interventional CardiologyPractitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 4183513807 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rajeswara Rao Patcha, MD,PCGroup PAC ID 9638068323, 8 clinicians
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

172 E Main St
Huntington, NY 11743-2948
Phone (631) 385-0022

270 Park Ave
Suite 1
Huntington, NY 11743-2787
Phone (631) 351-2219

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting23
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
147275NYMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Huntington Hospital Association Cardiovascular Disease CurrentSince Aug 28, 2011 Accepting new patients
North Shore-Lij Medical PC Cardiovascular Disease CurrentSince Feb 14, 2018 Accepting new patients
Rajeswara Rao Patcha, MD,PC Cardiovascular Disease CurrentSince Jan 1, 1997 Accepting new patients
Huntington Hospital Association Current Accepting new patients
Huntington Hospital Association CurrentSince Aug 28, 2011 Accepting new patients
Northwell Health Current Accepting new patients
Balveen Singh MD PLLC Cardiovascular Disease Past Accepting new patients

Locations

31 Centershore Rd
Centerport, NY 11721
Phone (631) 425-1292

16 Van Cott Rd
Ste 2E
Deer Park, NY 11729
Phone (631) 274-0777

206 Fallwood Pkwy
#C
Farmingdale, NY 11735

270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308

270 Park Ave
Fl 1
Huntington, NY 11743
Phone (631) 351-2219

172 E Main St
Huntington, NY 11743
Phone (631) 278-3622

300 Community Dr
Manhasset, NY 11030

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: rajpatcha@northwell.allscriptsdirect.net

Organizations & group practices 7

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 5

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1104829407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 E MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432948",
            "telephone_number": "631-385-0022",
            "fax_number": "631-385-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 E MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432948",
            "telephone_number": "631-385-0022",
            "fax_number": "631-385-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATCHA",
        "first_name": "RAJESWARA",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "147275",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "147275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00767395",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.