Individual provider Active NPI

Kartic Rajput, M.D., PH.D.

  • Pain Medicine Physician
  • Stockton, CA
National Provider Identifier
1306006705
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
C160187 Issued in CA
Practice address
2545 W Hammer LN
Stockton, CA 95209-2839
Phone
(209) 941-0371
Fax
(209) 951-2469
NPI assigned
Jun 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X C160187 CA Primary
Interventional Pain Medicine Physician 208VP0014X 27244 NE

Addresses

Primary practice location

2545 W Hammer LN
Stockton, CA 95209-2839

Mailing address

PO Box 255228
Sacramento, CA 95865-5228
Phone (800) 470-0071

Other practice location 1

908 N Howard Ave
Ste 105
Grand Island, NE 68803-3556
Phone (308) 398-8900

Other practice location 2

445 W Eaton Ave
Tracy, CA 95376-3420
Phone (209) 941-0371

Other practice location 3

1401 Spanos Ct Ste 130
Modesto, CA 95355-2815
Phone (209) 941-0371

Other practice location 4

918 S Fairmont Ave
Lodi, CA 95240-5119
Phone (209) 941-0371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20191203001055 CA Practitioner - Pain Management 7810137429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

2200 Orchard Pkwy
Suite 102
Tracy, CA 95377-7346
Phone (209) 830-4060

2505 W Hammer LN
Stockton, CA 95209-2839
Phone (209) 957-7050

2545 W Hammer LN
Stockton, CA 95209-2839
Phone (209) 957-7050

2800 L St
Sacramento, CA 95816-5616

815 Court St
Jackson, CA 95642-2154

918 S Fairmont Ave
Lodi, CA 95240-5119
Phone (209) 366-2001

924 S Fairmont Ave
Lodi, CA 95240-5119
Phone (209) 334-2590

Hospital & facility affiliations

  • Sutter Tracy Community Hospital Hospital, Tracy, CA, CCN 050313

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C160187CAMDPain Medicine Physician
27244NEMDInterventional Pain Medicine Physician
005460GAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation CurrentSince Nov 4, 2019 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Nov 4, 2019 Accepting new patients
Sutter Valley Hospitals Interventional Pain Medicine Past Accepting new patients
Sutter Tracy Community Hospital Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Locations

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

918 S Fairmont Ave
Lodi, CA 95240
Phone (209) 336-2000

1401 Spanos Ct
Ste 130
Modesto, CA 95355
Phone (209) 525-3844

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

2750 Gateway Oaks Dr
Ste 150
Sacramento, CA 95833
Phone (916) 887-7398

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

2545 W Hammer Ln
Stockton, CA 95209
Phone (209) 948-1641

445 W Eaton Ave
Tracy, CA 95376
Phone (209) 830-4062

Interoperability endpoints

  • Direct secure messaging: krajput465072@hisp.ehr.sutterhealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1306006705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255228",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655228",
            "telephone_number": "800-470-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 W HAMMER LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952092839",
            "telephone_number": "209-941-0371",
            "fax_number": "209-951-2469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "908 N Howard Ave",
            "address_2": "Ste 105",
            "address_purpose": "LOCATION",
            "city": "Grand Island",
            "state": "NE",
            "postal_code": "688033556",
            "country_code": "US",
            "telephone_number": "308-398-8900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "445 W Eaton Ave",
            "address_purpose": "LOCATION",
            "city": "Tracy",
            "state": "CA",
            "postal_code": "953763420",
            "country_code": "US",
            "telephone_number": "209-941-0371",
            "fax_number": "209-951-2438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Spanos Ct Ste 130",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953552815",
            "country_code": "US",
            "telephone_number": "209-941-0371",
            "fax_number": "209-951-2438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "918 S Fairmont Ave",
            "address_purpose": "LOCATION",
            "city": "Lodi",
            "state": "CA",
            "postal_code": "952405119",
            "country_code": "US",
            "telephone_number": "209-941-0371",
            "fax_number": "209-951-2438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJPUT",
        "first_name": "KARTIC",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "C160187",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NE",
            "license": "27244",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.