Rajender Kumar Gattu, MD

Primary specialty

Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X

License

D66275 Issued in MD

Practice address

1419 Reisterstown Rd
Pikesville, MD 21208-3808

Phone

(240) 376-1616

Fax

(855) 825-6158

NPI assigned

Jun 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD, DC2 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 2

Specialty

Pediatric MedicineAlso: Emergency Medicine, General Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Xpress Pediatrics, LLC

  • Urgent Care Clinic/Center
  • Pikesville, MD
  • NPI 1164070181

  DC, Pediatrics

  Medicare reassignment NPD Authorized official
• Xpress Pediatrics LLC

  • Pediatrics Physician
  • Pikesville, MD
  • NPI 1649804808
  NPD (past) Authorized official
• Xpress Pediatrics, LLC

  • Pediatrics Physician
  • Pikesville, MD
  • NPI 1144964156
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1417995143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 REISTERSTOWN RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083808",
            "telephone_number": "240-376-1616",
            "fax_number": "855-825-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 REISTERSTOWN RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083808",
            "telephone_number": "240-376-1616",
            "fax_number": "855-825-6158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11414 Georgia Ave",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209021907",
            "country_code": "US",
            "telephone_number": "240-616-1616",
            "fax_number": "855-825-6158",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3750 University Blvd W Ste 101",
            "address_purpose": "LOCATION",
            "city": "Kensington",
            "state": "MD",
            "postal_code": "208952136",
            "country_code": "US",
            "telephone_number": "240-616-1616",
            "fax_number": "855-825-6158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GATTU",
        "first_name": "RAJENDER",
        "middle_name": "KUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301073223",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "MD",
            "license": "D66275",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D66275",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412657200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynette Garner
• Jerry Emamurho Garrard
• Aleisha Garrison
• Garrett Gateley
• Heather Noel Gates
• Penny Gauer
• Valeria Lucila Gavidia
• Adeyemi Gbadebo
• Akpe Gbokede
• Dolores Gebhardt, MS, OTR/L

• Pediatric Emergency Medicine (Pediatrics) Physician in Pikesville, MD
• Providers in Pikesville, MD by specialty
• Pediatric Emergency Medicine (Pediatrics) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.