Active NPI
Parthasarathy Govindarajan, MD
- Gastroenterology Physician
- Kailua Kona, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A30073
- Practice address
- 75-5591 Palani Rd Ste 2002
Kailua Kona, HI 96740-3634 - Phone
- (714) 832-7642
- Fax
- (714) 832-7308
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A30073 | CA | Primary |
| Gastroenterology Physician | 207RG0100X | MD.12398 | HI |
Addresses
Primary practice location
75-5591 Palani Rd Ste 2002
Kailua Kona, HI 96740-3634
Mailing address
1711 W Romneya Dr
Anaheim, CA 92801-1804
Phone (714) 832-7642
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 624800 | Medicaid | HI | |
| 00A300730 | Medicaid | CA |
Other names 1
- P G Rajan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1966
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
78 -6831 Alii Dr
Suite 328
Kailua Kona, HI 96740-4408
Phone (808) 747-8321
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A30073 | CA | MD | Gastroenterology Physician |
| MD.12398 | HI | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hosanna LLC | Current | Accepting new patients | |
| Paramvir S Rahal MD Inc | Gastroenterology | Current | Accepting new patients |
| Paramvir S. Rahal MD, Inc | Gastroenterology | Current | Accepting new patients |
| Ali'I Health Center | Current | Accepting new patients | |
| Alii Health Center | Current | Accepting new patients | |
| Alii Health Center | Past | Accepting new patients | |
| Northbay Healthcare Group | Past | Accepting new patients |
Locations
9802 Stockdale Hwy
Ste 102
Bakersfield, CA 93311
Phone (661) 323-1200
78-6831 Alii Dr
Ste 418
Kailua Kona, HI 96740
Phone (808) 747-8725
78-6831 Alii Dr
Ste 422
Kailua Kona, HI 96740
Phone (808) 747-8321
75-5870 Walua Rd
Ste 200
Kailua Kona, HI 96740
Phone (808) 319-2210
78-6831 Alii Dr
Ste 328
Kailua Kona, HI 96740
Phone (808) 747-8321
Networks
- HI PPO
Interoperability endpoints
- parthasarathy.govindarajan@59066133643268.direct.elationemr.com
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Kailua Kona, HI
- NPI 1285107698
-
- Family Medicine Physician
- Kealakekua, HI
- NPI 1376661520
-
- Gastroenterology Physician
- Bakersfield, CA
- NPI 1558475459
-
- Ambulatory Surgical Clinic/Center
- Kailua Kona, HI
- NPI 1144949967
-
- Gastroenterology Physician
- Delano, CA
- NPI 1730293630
-
- Urology Physician
- Kailua Kona, HI
- NPI 1225620321
-
- General Acute Care Hospital
- Fairfield, CA
- NPI 1821147786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285718400000",
"number": "1154482503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1711 W ROMNEYA DR",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011804",
"telephone_number": "714-832-7642",
"fax_number": "714-832-7308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75-5591 PALANI RD STE 2002",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967403634",
"telephone_number": "714-832-7642",
"fax_number": "714-832-7308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOVINDARAJAN",
"first_name": "PARTHASARATHY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2010-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A30073",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "HI",
"license": "MD.12398",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "624800",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A300730",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "P",
"last_name": "RAJAN",
"middle_name": "G",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Kailua Kona, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.