NPIMap

Organization Active NPI

Rajendra P Koirala, M.D., LLC

Doing business as Restore Compassionate Primary Care

  • Family Medicine Physician
  • Youngstown, OH
National Provider Identifier
1265142830
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RAJENDRA P KOIRALA, M.D., LLC
Doing business as
Restore Compassionate Primary Care
Practice address
725 Boardman Canfield Rd Ste M
Youngstown, OH 44512-4380
Phone
(330) 330-8655
Fax
(330) 330-8657
NPI assigned
Dec 5, 2022
Last updated
Dec 5, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
RAJENDRA P KOIRALA, M.D., LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Authorized official

Name
Dr. Rajendra Koirala, MDNPI 1952588972
Title
Owner
Phone
(330) 330-8655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

725 Boardman Canfield Rd Ste M
Youngstown, OH 44512-4380

Mailing address

725 Boardman Canfield Rd Ste L1
Youngstown, OH 44512-4370
Phone (330) 330-8655

Other names 1

  • Restore Compassionate Primary Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
RCBH3 organizations share this tax ID, including this one
Part of
RCBH

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1265142830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 BOARDMAN CANFIELD RD STE L1",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445124370",
            "telephone_number": "330-330-8655",
            "fax_number": "330-330-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 BOARDMAN CANFIELD RD STE M",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445124380",
            "telephone_number": "330-330-8655",
            "fax_number": "330-330-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJENDRA P KOIRALA, M.D., LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RAJENDRA P KOIRALA, M.D., LLC",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "KOIRALA",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-330-8655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore Compassionate Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.