NPIMap

Individual provider Active NPI

Rajesh Mukundrai Dave, M.D.

  • Cardiovascular Disease Physician
  • Camp Hill, PA
National Provider Identifier
1184627333
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD063617L Issued in PA
Practice address
875 Poplar Church Rd
Suite 400
Camp Hill, PA 17011-2203
Phone
(717) 724-6450
Fax
(717) 724-6451
NPI assigned
May 23, 2005
Last updated
Jun 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X MD063617L PA
Cardiovascular Disease Physician 207RC0000X MD063617L PA Primary

Addresses

Primary practice location

875 Poplar Church Rd
Suite 400
Camp Hill, PA 17011-2203

Mailing address

205 Grandview Ave
Suite 210
Camp Hill, PA 17011-1708
Phone (717) 724-6450

Other practice location 1

875 Poplar Church Rd Ste 300
Camp Hill, PA 17011-2203
Phone (717) 701-3204

Other identifiers 2

IdentifierTypeStateIssuer
0018507080001MedicaidPA
060067311OtherRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rdave122020@direct.geisinger.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20060601000138 PA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 9537136718 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Limb Salvage Center LLCGroup PAC ID 5193127686, 3 clinicians
Cardiovascular Experts of Pennsylvania LLCGroup PAC ID 8123420288, 3 clinicians

Practice addresses (Care Compare)

3040 Market St
Camp Hill, PA 17011-4539
Phone (717) 727-0480

875 Poplar Church Rd
Camp Hill, PA 17011-2203

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.64 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.47

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting32
Varicose vein removal1-10
Leg revascularization (restoring blood flow)113

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Limb Salvage Center LLC Cardiovascular Disease CurrentSince Jul 1, 2021 Accepting new patients
Cardiovascular Experts of Pennsylvania, LLC Interventional Cardiology CurrentSince Jul 1, 2021 Accepting new patients
Cardiovascular Experts, LLC CurrentSince Jan 11, 2021 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3040 Market St
#1
Camp Hill, PA 17011

875 Poplar Church Rd
Ste 300
Camp Hill, PA 17011
Phone (223) 225-1120

3040 Market St
Camp Hill, PA 17011
Phone (717) 727-0480

Interoperability endpoints

  • Direct secure messaging: rdave122020@direct.geisinger.edu
  • Direct secure messaging: rajeshdavemd@cardiovascularexperts.medentdirect.com
  • Direct secure messaging: rajeshdave@alsc.medentdirect.com

Organizations & group practices 5

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1184627333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 GRANDVIEW AVE",
            "address_2": "SUITE 210",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170111708",
            "telephone_number": "717-724-6450",
            "fax_number": "717-724-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 POPLAR CHURCH RD",
            "address_2": "SUITE 400",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112203",
            "telephone_number": "717-724-6450",
            "fax_number": "717-724-6451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 Poplar Church Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Camp Hill",
            "state": "PA",
            "postal_code": "170112203",
            "country_code": "US",
            "telephone_number": "717-701-3204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVE",
        "first_name": "RAJESH",
        "middle_name": "MUKUNDRAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD063617L",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD063617L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018507080001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060067311",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdave122020@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "875 Poplar Church Rd",
            "address_2": "Suite 400",
            "city": "Camp Hill",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170112203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.