Individual provider Active NPI

Geetanjali Singh Rathore, M.D

  • Neurology with Special Qualifications in Child Neurology Physician
  • Omaha, NE
National Provider Identifier
1124258306
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
V4060 Issued in TX
Practice address
982167 Nebraska Medical Ctr
Omaha, NE 68198-2167
Phone
(402) 559-5380
NPI assigned
Jul 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 6136 NE
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X V4060 TX Primary

Addresses

Primary practice location

982167 Nebraska Medical Ctr
Omaha, NE 68198-2167

Mailing address

310 N 40TH St
Apartment 10
Omaha, NE 68131-2376
Phone (402) 889-0601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, ND, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20151013002026 NE Practitioner - Pediatric MedicinePractitioner - Neurology 0042529034 Reassigns benefits to 1 organization
I20240925001060 ND Practitioner - Pediatric MedicinePractitioner - Neurology 0042529034 Reassigns benefits to 1 organization
I20241118003742 TX Practitioner - Neurology 0042529034 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6136NEMDPediatrics Physician
V4060TXMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock Pediatrics CurrentSince Oct 1, 2024 Accepting new patients
Unmc Physicians CurrentSince Sep 12, 2015 Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Oct 1, 2024 Accepting new patients
St. Alexius Medical Center CurrentSince Sep 16, 2024 Accepting new patients
St Alexius Medical Center CurrentSince Sep 16, 2024 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Nebraska Pediatric Practice, Inc Pediatrics Past Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients

Locations

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

3502 9th St
Ste 130
Lubbock, TX 79415
Phone (806) 743-1188

3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

Organizations & group practices 8

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": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1124258306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N 40TH ST",
            "address_2": "APARTMENT 10",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312376",
            "telephone_number": "402-889-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "982167 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681982167",
            "telephone_number": "402-559-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATHORE",
        "first_name": "GEETANJALI",
        "middle_name": "SINGH",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NE",
            "license": "6136",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "TX",
            "license": "V4060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.