Individual provider Active NPI

Rahul Gokhroo, MD

  • Interventional Cardiology Physician
  • Iselin, NJ
National Provider Identifier
1184987372
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
25MA12419600 Issued in NJ
Practice address
400 Gill LN
Iselin, NJ 08830-3059
Phone
(732) 404-1580
Fax
(732) 404-1592
NPI assigned
Jun 21, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P27588 MD
Interventional Cardiology Physician 207RI0011X A175041 CA
Interventional Cardiology Physician 207RI0011X MD2019-0529 NM
Interventional Cardiology Physician 207RI0011X 25MA12419600 NJ Primary

Addresses

Primary practice location

400 Gill LN
Iselin, NJ 08830-3059

Mailing address

949 Calhoun PL Ste D
Hemet, CA 92543-4403
Phone (951) 652-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NJ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220627001269 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 7416184080 Reassigns benefits to 1 organization
I20250210001478 NJ Practitioner - Interventional CardiologyPractitioner - Internal Medicine 7416184080 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avenel Iselin Medical Group, LLCGroup PAC ID 5597751941, 18 clinicians
Ratan L Tiwari MD IncGroup PAC ID 4981665924, 4 clinicians

Practice addresses (Care Compare)

400 Gill Lane
Iselin, NJ 08830-3059

400 Gill LN
Iselin, NJ 08830-3059
Phone (732) 404-1580

949 Calhoun PL
Suite D
Hemet, CA 92543-4403
Phone 9516528000491

Hospital & facility affiliations

  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Robert Wood Johnson University Hospital Hospital, New Brunswick, NJ, CCN 310038

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P27588MDMDInternal Medicine Physician
A175041CAMDInterventional Cardiology Physician
25MA12419600NJMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shah Anuj MD PC Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Avenel Iselin Medical Group, LLC CurrentSince Feb 22, 2025 Accepting new patients
Ratan L Tiwari, M.D., Inc. CurrentSince Aug 1, 2022 Accepting new patients

Locations

949 Calhoun Pl
Ste D
Hemet, CA 92543
Phone (951) 652-8000

400 Gill Ln
Iselin, NJ 08830
Phone (732) 404-1580

591 Franklin Ave
Nutley, NJ 07110
Phone (973) 661-1100

293 Passaic St
Passaic, NJ 07055
Phone (732) 255-4958

Interoperability endpoints

  • Direct secure messaging: rgokhroo14573@prd.direct.tbh.org

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1184987372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 CALHOUN PL STE D",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434403",
            "telephone_number": "951-652-8000",
            "fax_number": "951-929-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GILL LN",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088303059",
            "telephone_number": "732-404-1580",
            "fax_number": "732-404-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOKHROO",
        "first_name": "RAHUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "P27588",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A175041",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NM",
            "license": "MD2019-0529",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "25MA12419600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iselin, NJ

Sources for this page

Verify at the official NPI Registry.