NPIMap

Individual provider Active NPI

Mariko Crum Rajamand, D.O.

  • Gynecology Physician
  • Reno, NV
National Provider Identifier
1255714119
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
DO2593 Issued in NV
Practice address
5448 Reno Corporate Dr
Reno, NV 89511-2620
Phone
(775) 993-9292
Fax
(775) 993-9293
NPI assigned
Jul 9, 2015
Last updated
Mar 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X DO2593 NV
Gynecology Physician 207VG0400X DO2593 NV Primary

Addresses

Primary practice location

5448 Reno Corporate Dr
Reno, NV 89511-2620

Mailing address

5448 Reno Corporate Dr
Reno, NV 89511-2620
Phone (775) 993-9292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20191007000563 NV Practitioner - Obstetrics/Gynecology 7911297924 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Arizona College of Osteopathic Medicine Mid Western University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mariko C Rajamand PLLCGroup PAC ID 4385016435, 8 clinicians

Practice addresses (Care Compare)

5448 Reno Corporate Dr
Reno, NV 89511-2620
Phone (775) 993-9292

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO2593NVMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mariko C Rajamand PLLC CurrentSince Feb 4, 2024 Accepting new patients
Mariko C Rajamand PLLC Obstetrics & Gynecology CurrentSince Jan 1, 2023 Accepting new patients
Renown Regional Medical Center Past Accepting new patients
Hometown Health Management Company PastSince Sep 5, 2019 Accepting new patients

Locations

5448 Reno Corporate Dr
Reno, NV 89511
Phone (775) 993-9292

Interoperability endpoints

  • Direct secure messaging: femwell.marikorajamand@154370.advancedmd-direct.com
  • Direct secure messaging: mariko.rajamand.p1@direct.elkochc.nextgenshare.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 8

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": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1255714119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5448 RENO CORPORATE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112620",
            "telephone_number": "775-993-9292",
            "fax_number": "775-993-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5448 RENO CORPORATE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112620",
            "telephone_number": "775-993-9292",
            "fax_number": "775-993-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJAMAND",
        "first_name": "MARIKO",
        "middle_name": "CRUM",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "DO2593",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NV",
            "license": "DO2593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.