Active NPI
Rajashree Mohanty, M.D.
- Pediatrics Physician
- Rochester, IN
National Provider Identifier
1386639623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 01033041
- Practice address
- 1725 Colonial Dr
Apt 25
Rochester, IN 46975-8991 - Phone
- (317) 496-4836
- NPI assigned
- Sep 13, 2005
- Reactivated
- Mar 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036.137506 | IL | |
| Pediatrics Physician | 208000000X | MD172318 | OR | |
| Pediatrics Physician | 208000000X | 01033041 | IN | Primary |
Addresses
Primary practice location
1725 Colonial Dr
Apt 25
Rochester, IN 46975-8991
Mailing address
1725 Colonial Dr
Apt 25
Rochester, IN 46975-8991
Phone (317) 496-4836
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100188900 | Medicaid | IN |
Other names 1
- Dr. Rajashree Mohanty
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.137506 | IL | MD | Pediatrics Physician |
| 01033041 | IN | MD | Pediatrics Physician |
| MD172318 | OR | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476921600000",
"number": "1386639623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 COLONIAL DR",
"address_2": "APT 25",
"city": "ROCHESTER",
"state": "IN",
"postal_code": "469758991",
"telephone_number": "317-496-4836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 COLONIAL DR",
"address_2": "APT 25",
"city": "ROCHESTER",
"state": "IN",
"postal_code": "469758991",
"telephone_number": "317-496-4836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHANTY",
"first_name": "RAJASHREE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-13",
"last_updated": "2016-10-20",
"deactivation_date": "2006-03-23",
"reactivation_date": "2006-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036.137506",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OR",
"license": "MD172318",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01033041",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100188900",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RAJASHREE",
"last_name": "MOHANTY",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.