Individual provider Active NPI

Roshan Deepak Rajani, MD

  • Nephrology Physician
  • Los Angeles, CA
National Provider Identifier
1336494145
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A136866 Issued in CA
Practice address
1520 San Pablo St Ste 1000
Los Angeles, CA 90033-5312
Phone
(323) 442-5100
NPI assigned
Jul 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A136866 CA Primary

Addresses

Primary practice location

1520 San Pablo St Ste 1000
Los Angeles, CA 90033-5312

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309
Phone (773) 817-3788

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address roshan.rajani@direct.usc.edu Direct USC CARE MEDICAL GROUP, INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MA, CO, UT, AR, KS, AZ, TX, IA, MN, NM, IL, OK, WA, NJ, PA16 enrollments
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 16

Enrollment IDStateProvider typePAC IDDetails
I20170712003312 CA Practitioner - NephrologyPractitioner - Internal Medicine 2567785694 Reassigns benefits to 2 organizations
I20200827002614 MA Practitioner - NephrologyPractitioner - Internal Medicine 2567785694
I20230405000015 CO Practitioner - Nephrology 2567785694 Reassigns benefits to 1 organization
I20230519001671 UT Practitioner - NephrologyPractitioner - Internal Medicine 2567785694 Reassigns benefits to 1 organization
I20230531002556 AR Practitioner - NephrologyPractitioner - Internal Medicine 2567785694 Reassigns benefits to 1 organization
I20240125001772 KS Practitioner - NephrologyPractitioner - Internal Medicine 2567785694
I20240125004851 AZ Practitioner - NephrologyPractitioner - Internal Medicine 2567785694 Reassigns benefits to 1 organization
I20240327000227 TX Practitioner - NephrologyPractitioner - Internal Medicine 2567785694 Reassigns benefits to 1 organization
I20240401001019 IA Practitioner - Nephrology 2567785694 Reassigns benefits to 1 organization
I20240404004054 MN Practitioner - Nephrology 2567785694 Reassigns benefits to 1 organization
I20240522001853 NM Practitioner - Nephrology 2567785694
I20240725000975 IL Practitioner - Nephrology 2567785694 Reassigns benefits to 1 organization
I20240821004534 OK Practitioner - Nephrology 2567785694 Reassigns benefits to 1 organization
I20260306002764 WA Practitioner - NephrologyPractitioner - Internal Medicine 2567785694 Reassigns benefits to 1 organization
I20260325001331 NJ Practitioner - Nephrology 2567785694 Reassigns benefits to 1 organization
I20260325001535 PA Practitioner - Nephrology 2567785694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5410 Maryland Way
Suite 400
Brentwood, TN 37027-8087

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services PC Family Medicine CurrentSince Jan 9, 2024 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jun 1, 2017 Accepting new patients
Usc Care Medical Group, Inc Family Medicine CurrentSince Jun 1, 2017 Accepting new patients
Monogram Health Professional Services of Texas PLLC Family Medicine CurrentSince Feb 2, 2024 Accepting new patients
Monogram Health Professional Services PC Family Medicine CurrentSince May 11, 2023 Accepting new patients
Monogram Health Professional Services of Iowa PLLC Family Medicine CurrentSince Feb 8, 2024 Accepting new patients
Ridgecrest Regional Hospital Current Accepting new patients
Monogram Health Professional Services PC Family Medicine CurrentSince May 11, 2023 Accepting new patients
Monogram Health Professional Services of Colorado, PC Family Medicine CurrentSince Mar 15, 2023 Accepting new patients

Locations

1202 NE McClain Rd
Bentonville, AR 72712
Phone (479) 278-4323

60 E Rio Salado Pkwy
Ste 300
Tempe, AZ 85281

1520 San Pablo St
Ste 1000
Los Angeles, CA 90033
Phone (626) 457-5839

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

105 E Sydnor Ave
Ste 100
Ridgecrest, CA 93555
Phone (760) 446-6404

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

8354 E Northfield Blvd
Unit 3700
Denver, CO 80238
Phone (303) 390-0208

4620 E 53rd St
Ste 200
Davenport, IA 52807
Phone (563) 213-5100

332 S Michigan Ave
Ste 900
Chicago, IL 60604
Phone (813) 395-1073

1650 West End Blvd
Ste 100
St Louis Park, MN 55416
Phone (612) 477-5139

101 Park Ave
Ste 1300
Oklahoma City, OK 73102
Phone (405) 689-9820

1650 Market St
Ste 3600
Philadelphia, PA 19103
Phone (484) 557-2367

5410 Maryland Way
Ste 301
Brentwood, TN 37027
Phone (615) 762-3845

5410 Maryland Way
Ste 400
Brentwood, TN 37027

708 Main St
Fl 10
Houston, TX 77002
Phone (832) 584-1436

222 S Main St
Fl 5
Salt Lake Cty, UT 84101
Phone (231) 409-2022

1220 Main St
Ste 400
Vancouver, WA 98660
Phone (360) 230-8557

Interoperability endpoints

  • Direct secure messaging: rrajani837943@direct.memorialcare.org
  • Direct secure messaging: roshan.rajani@direct.usc.edu
  • Direct secure messaging: roshan.rajani.1@22854.direct.athenahealth.com
  • Direct secure messaging: roshanrajani@rrh.medalliesdirect.net

Organizations & group practices 11

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": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1336494145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310309",
            "telephone_number": "773-817-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 SAN PABLO ST STE 1000",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335312",
            "telephone_number": "323-442-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJANI",
        "first_name": "ROSHAN",
        "middle_name": "DEEPAK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-18",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A136866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "roshan.rajani@direct.usc.edu",
            "affiliation": "Y",
            "affiliationName": "USC CARE MEDICAL GROUP, INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1520 San Pablo St Ste 1000",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900335312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.