Individual provider Active NPI

Rakhee Ajmera, PA-C

  • Medical Physician Assistant
  • Lansdale, PA
National Provider Identifier
1255658902
Registry record updated Feb 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA055650 Issued in PA
Practice address
1684 S Broad St Ste 150
Lansdale, PA 19446-5422
Phone
(215) 361-5020
Fax
(215) 362-1195
NPI assigned
Apr 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA055650 PA Primary

Addresses

Primary practice location

1684 S Broad St Ste 150
Lansdale, PA 19446-5422

Mailing address

125 Medical Campus Dr Ste 101
Lansdale, PA 19446-7205
Phone (215) 361-5020

Other identifiers 1

IdentifierTypeStateIssuer
103551470-0002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130430000491 PA Practitioner - Physician Assistant 0840475083 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
013972NYMDMental Health Counselor
MA055650PAMDMedical Physician Assistant

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.

Hospital & facility affiliations 5

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

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Consultants of Philadelphia PC 154 clinicians

Practice addresses (Care Compare)

125 Medical Campus Dr
Suite 101
Lansdale, PA 19446-7205
Phone (215) 361-5020

1703 S Broad St
Suite 300
Philadelphia, PA 19148-1536
Phone (215) 463-5333

Hospital & facility affiliations

  • Jefferson Lansdale Hospital Hospital, Lansdale, PA, CCN 390012
  • St Luke'S Hospital - Grand View Campus Hospital, Sellersville, PA, CCN 390057
  • Jefferson Abington Hospital Hospital, Abington, PA, CCN 390231
  • Jefferson Einstein Montgomery Hospital Hospital, East Norriton, PA, CCN 390329
  • Doylestown Hospital Hospital, Doylestown, PA, CCN 390203

NPI Registry JSON

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771718400000",
    "number": "1255658902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MEDICAL CAMPUS DR STE 101",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194467205",
            "telephone_number": "215-361-5020",
            "fax_number": "215-362-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1684 S BROAD ST STE 150",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465422",
            "telephone_number": "215-361-5020",
            "fax_number": "215-362-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJMERA",
        "first_name": "RAKHEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-21",
        "last_updated": "2026-02-22",
        "certification_date": "2026-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA055650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103551470-0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

Verify at the official NPI Registry.