Individual provider Active NPI

Rajesh K Sheth, MD

  • Family Medicine Physician
  • Louisville, KY
National Provider Identifier
1194734152
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22769 Issued in KY
Practice address
332 W Broadway
Suite 600
Louisville, KY 40202-2116
Phone
(502) 583-2759
Fax
(502) 583-2760
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22769 KY Primary

Addresses

Primary practice location

332 W Broadway
Suite 600
Louisville, KY 40202-2116

Mailing address

332 W Broadway
Suite 600
Louisville, KY 40202-2116
Phone (502) 583-2759

Other identifiers 1

IdentifierTypeStateIssuer
64227697MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050906000671 KY Practitioner - Family Practice 7911939400 Practice locations: Louisville, KY

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265846400000",
    "number": "1194734152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 W BROADWAY",
            "address_2": "SUITE 600",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022116",
            "telephone_number": "502-583-2759",
            "fax_number": "502-583-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 W BROADWAY",
            "address_2": "SUITE 600",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022116",
            "telephone_number": "502-583-2759",
            "fax_number": "502-583-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETH",
        "first_name": "RAJESH",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2010-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "22769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64227697",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.