Active NPI
Rushang Mitesh Parikh, M.D.
- Nephrology Physician
- Northport, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 302665-01
- Practice address
- 79 Middleville Rd
Northport, NY 11768-2200 - Phone
- (631) 660-8431
- NPI assigned
- Nov 4, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 302665-01 | NY | Primary |
Addresses
Primary practice location
79 Middleville Rd
Northport, NY 11768-2200
Mailing address
79 Middleville Rd
Northport, NY 11768-2200
Phone (631) 660-8431
Other practice location 1
168 S Howell St
Hillsdale, MI 49242-2081
Phone (517) 437-5235
Other practice location 2
8010 State Line Rd Ste 100
Prairie Village, KS 66208-3711
Phone (816) 982-3745
Other practice location 3
403 Burkarth Rd
Warrensburg, MO 64093-3101
Phone (660) 626-7301
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 302665 | Other | NY | MEDICAL LICENSE |
| 4301508005 | Other | MI | MEDICAL LICENSE |
| 2022044821 | Other | MO | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302665-01 | NY | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prine Health Medical Group, PLLC | Current | Accepting new patients | |
| Prine Health Medical Group, PLLC | Nephrology | Current | Accepting new patients |
Locations
20110 Northern Blvd
Ste 304
Bayside, NY 11361
Phone (516) 407-2727
370 Old Country Rd
Ste 100
Garden City, NY 11530
Phone (516) 222-1000
1129 Northern Blvd
Ste 101
Manhasset, NY 11030
Phone (516) 365-5570
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 and National Provider Directory roles.
-
- Nephrology Physician
- Manhasset, NY
- NPI 1144790163
-
- Podiatrist
- Hicksville, NY
- NPI 1538868336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675987200000",
"number": "1144693847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 MIDDLEVILLE RD",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "117682200",
"telephone_number": "631-660-8431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 MIDDLEVILLE RD",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "117682200",
"telephone_number": "631-660-8431"
}
],
"practiceLocations": [
{
"address_1": "168 S Howell St",
"address_purpose": "LOCATION",
"city": "Hillsdale",
"state": "MI",
"postal_code": "492422081",
"country_code": "US",
"telephone_number": "517-437-5235",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8010 State Line Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Prairie Village",
"state": "KS",
"postal_code": "662083711",
"country_code": "US",
"telephone_number": "816-982-3745",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "403 Burkarth Rd",
"address_purpose": "LOCATION",
"city": "Warrensburg",
"state": "MO",
"postal_code": "640933101",
"country_code": "US",
"telephone_number": "660-626-7301",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARIKH",
"first_name": "RUSHANG",
"middle_name": "MITESH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-04",
"last_updated": "2023-02-10",
"certification_date": "2023-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "302665-01",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "302665",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "4301508005",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "2022044821",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.