NPIMap

Individual provider Active NPI

Eugene Rajaratnam, MD

  • Internal Medicine Physician
  • Croton on Hudson, NY
National Provider Identifier
1356476386
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
217845 Issued in NY
Practice address
35 S Riverside Ave Ste 103
Croton on Hudson, NY 10520-2654
Phone
(914) 241-1050
Fax
(914) 271-9712
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 217845 NY Primary

Addresses

Primary practice location

35 S Riverside Ave Ste 103
Croton on Hudson, NY 10520-2654

Mailing address

110 S Bedford Rd
Mount Kisco Medical Group PC
Mount Kisco, NY 10549-3446
Phone (914) 241-1050

Other identifiers 1

IdentifierTypeStateIssuer
02600782MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120806000459 NY Practitioner - Internal Medicine 2163678277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians

Practice addresses (Care Compare)

440 S Riverside Ave
Croton on Hudson, NY 10520-3059
Phone (914) 271-8700

Hospital & facility affiliations

  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Hudson Valley Hospital Center Hospital, Cortlandt Manor, NY, CCN 330267
  • Northern Westchester Hospital Hospital, Mount Kisco, NY, CCN 330162
  • Bethel Nursing Home Company Inc Nursing home, Ossining, NY, CCN 335490
  • Briarcliff Manor Center For Rehab And Nursing Care Nursing home, Briarcliff Manor, NY, CCN 335005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
217845NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Aug 1, 2012 Accepting new patients
Optum Medical Care, P.C. CurrentSince Aug 1, 2012 Accepting new patients
Docs Physicians Affiliated With Bimc Internal Medicine Past Accepting new patients
Mount Kisco Medical Group Past Accepting new patients

Locations

35 S Riverside Ave
Ste 103
Croton on Hudson, NY 10520
Phone (914) 271-8700

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

Philadelphia, PA 19195

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: erajaratnam302559@northwell.direct-ci.com
  • Direct secure messaging: erajaratnam142601@direct.optum.com
  • Direct secure messaging: eugene.rajaratnam@direct.hvhc.org

Organizations & group practices 4

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 6

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1356476386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S BEDFORD RD",
            "address_2": "MOUNT KISCO MEDICAL GROUP PC",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493446",
            "telephone_number": "914-241-1050",
            "fax_number": "914-271-9712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 S RIVERSIDE AVE STE 103",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105202654",
            "telephone_number": "914-241-1050",
            "fax_number": "914-271-9712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJARATNAM",
        "first_name": "EUGENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "217845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02600782",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Croton on Hudson, NY

Sources for this page

Verify at the official NPI Registry.