NPIMap

Individual provider Active NPI

Harmanpreet Bobby Rakhra, M.D.

  • Internal Medicine Physician
  • Elkhart, IN
National Provider Identifier
1417919481
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01059837A Issued in IN
Practice address
303 S Nappanee St
Elkhart, IN 46514-2066
Phone
(574) 296-3200
Fax
(574) 296-3921
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 01059837A IN
Internal Medicine Physician 207R00000X 01059837A IN Primary
Internal Medicine Physician 207R00000X 036-112543 IL
Hospitalist Physician 208M00000X 01059837A IN

Addresses

Primary practice location

303 S Nappanee St
Elkhart, IN 46514-2066

Mailing address

PO Box 2968
Elkhart, IN 46515-2968
Phone (574) 296-3200

Other identifiers 2

IdentifierTypeStateIssuer
200506720MedicaidIN
000000357055OtherINANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20050110001118 IN Practitioner - Internal Medicine 6305894957 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group Indiana LLCGroup PAC ID 2365341674, 28 clinicians
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

303 N Nappanee St
Elkhart, IN 46514-2066
Phone 57429632003973

505 W US Hwy 30
Schererville, IN 46375-2650
Phone (219) 322-3311

Hospital & facility affiliations

  • Elara Caring Home health agency, Valparaiso, IN, CCN 157095
  • Saint Joseph Vna Home Care Home health agency, South Bend, IN, CCN 157005
  • Saint Joseph Regional Medical Center Hospital, Mishawaka, IN, CCN 150012
  • Elkhart General Hospital Hospital, Elkhart, IN, CCN 150018
  • Community Hospital Hospital, Munster, IN, CCN 150125
  • Memorial Hospital of South Bend Hospital, South Bend, IN, CCN 150058

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-112543ILMDInternal Medicine Physician
01059837AINMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Indiana, LLC CurrentSince Dec 15, 2008 Accepting new patients
Privia Medical Group Indiana, LLC Current Accepting new patients
Privia Medical Group Indiana, LLC CurrentSince Dec 15, 2008 Accepting new patients
Chantel Medical LLC Internal Medicine PastSince Jul 24, 2022 Accepting new patients

Locations

303 S Nappanee St
Elkhart, IN 46514

410 Park Pl
#A
Mishawaka, IN 46545
Phone (574) 252-0667

Interoperability endpoints

  • Direct secure messaging: harmanpreet.rakhra.1@31626.direct.athenahealth.com
  • Direct secure messaging: harmanpreet.rakhra@elkhartc.eclinicaldirectplus.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 9

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1417919481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2968",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465152968",
            "telephone_number": "574-296-3200",
            "fax_number": "574-296-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S NAPPANEE ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465142066",
            "telephone_number": "574-296-3200",
            "fax_number": "574-296-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKHRA",
        "first_name": "HARMANPREET",
        "middle_name": "BOBBY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01059837A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01059837A",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-112543",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01059837A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200506720",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000357055",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

Verify at the official NPI Registry.