Individual provider Active NPI

Ruchi Gadodia

  • Speech-Language Pathologist
  • Washington, DC
National Provider Identifier
1275900409
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
450 Massachusetts Ave NW
622
Washington, DC 20001-6200
Phone
(626) 264-2470
NPI assigned
Aug 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

450 Massachusetts Ave NW
622
Washington, DC 20001-6200

Mailing address

450 Massachusetts Ave NW
622
Washington, DC 20001-6200

Other identifiers 1

IdentifierTypeStateIssuer
1003165218OtherDCKIPP DC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1275900409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 MASSACHUSETTS AVE NW",
            "address_2": "622",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200016200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MASSACHUSETTS AVE NW",
            "address_2": "622",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200016200",
            "telephone_number": "626-264-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADODIA",
        "first_name": "RUCHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KIPP DC",
            "identifier": "1003165218",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.