Individual provider Active NPI

Rahul Pradeep Deolankar, MD

  • Neuroradiology Physician
  • Saint Louis, MO
National Provider Identifier
1275947012
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
2019009594 Issued in MO
Practice address
510 S Kingshighway Blvd
Saint Louis, MO 63110-1016
Phone
(314) 362-7200
Fax
(314) 747-4189
NPI assigned
Jun 19, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2019009594 MO
Neuroradiology Physician 2085N0700X 2019009594 MO Primary

Addresses

Primary practice location

510 S Kingshighway Blvd
Saint Louis, MO 63110-1016

Mailing address

660 S Euclid Ave
CB 8131
Saint Louis, MO 63110-1010
Phone (314) 362-7200

Other identifiers 2

IdentifierTypeStateIssuer
ENROLLEDMedicaidIL
200062952MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200214001645 TX Practitioner - Diagnostic Radiology 0941429765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical School at Houston, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Radiology Consultants PLLCGroup PAC ID 6709868409, 120 clinicians

Practice addresses (Care Compare)

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-3216

Merit-based Incentive Payment System (MIPS)

Final score
93.26 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.03

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Btdi JV LLP CurrentSince Jun 18, 2020 Accepting new patients
Btdi JV LLP CurrentSince Jul 1, 2020 Accepting new patients
American Radiology Consultants PLLC Diagnostic Radiology CurrentSince Feb 1, 2020 Accepting new patients

Locations

17101 Dallas Pkwy
Addison, TX 75001
Phone (214) 696-8033

1612 Hospital Pkwy
Bedford, TX 76022
Phone (817) 685-4700

6301 Gaston Ave
Ste 180
Dallas, TX 75214
Phone (214) 826-6700

3410 Worth St
Ste 160
Dallas, TX 75246
Phone (214) 826-9797

7777 Forest Ln
Ste D100
Dallas, TX 75230

9301 N Central Expy
Ste 200
Dallas, TX 75231
Phone (214) 389-9130

712 N Washington Ave
Ste 102
Dallas, TX 75246
Phone (214) 515-0016

3500 Gaston Ave
Dallas, TX 75246

621 N Hall St
Dallas, TX 75226
Phone (214) 820-0600

3720 S Interstate 35 E
Denton, TX 76210
Phone (940) 382-1022

1901 Grandview Ave
El Paso, TX 79902
Phone (915) 544-6750

6500 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 263-2600

1450 8th Ave
Ft Worth, TX 76104
Phone (817) 702-8300

2121 Pease St
Ste 101
Harlingen, TX 78550
Phone (956) 364-6735

2021 N MacArthur Blvd
Ste 400
Irving, TX 75061
Phone (972) 253-3751

1300 N 4th St
Longview, TX 75601
Phone (903) 757-2122

4510 Medical Center Dr
Ste 215
McKinney, TX 75069
Phone (469) 952-5007

4700 N Galloway Ave
Mesquite, TX 75150
Phone (972) 686-6411

3705 W 15th St
Plano, TX 75075
Phone (972) 867-3577

1350 First Colony Blvd
Sugar Land, TX 77479
Phone (281) 276-3467

2400 N Interstate Highway 35 E
Waxahachie, TX 75165
Phone (469) 843-4000

1405 W Jefferson St
Waxahachie, TX 75165
Phone (972) 875-9000

501 W Medical Center Blvd
Webster, TX 77598
Phone (281) 316-4926

1700 W State Highway 6
Woodway, TX 76712
Phone (254) 399-0741

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1275947012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "address_2": "CB 8131",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "314-362-7200",
            "fax_number": "314-747-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S KINGSHIGHWAY BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101016",
            "telephone_number": "314-362-7200",
            "fax_number": "314-747-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEOLANKAR",
        "first_name": "RAHUL",
        "middle_name": "PRADEEP",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2019009594",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MO",
            "license": "2019009594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200062952",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.