Organization Active NPI

Rekha G Panvelkar, MD

  • Pediatrics Physician
  • Columbus, GA
National Provider Identifier
1447312673
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
034432 Issued in GA
Legal business name
REKHA G PANVELKAR, MD
Practice address
626 23Rd Street
Columbus, GA 31904-8829
Phone
(706) 660-1177
Fax
(706) 660-1098
NPI assigned
Dec 14, 2006
Last updated
Sep 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Authorized official

Name
Rekha G Panvelkar, MDNPI 1306929195
Title
Physician
Phone
(706) 660-1177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 034432 GA Primary

Addresses

Primary practice location

626 23Rd Street
Columbus, GA 31904-8829

Mailing address

626 23Rd Street
Columbus, GA 31904-8829
Phone (706) 660-1177

Other identifiers 1

IdentifierTypeStateIssuer
000473371AMedicaidGA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0685507Rekha G Panvelkar MD626 23Rd Street, Columbus, GA 31904Certificate of waiverFeb 22, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1447312673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 23RD STREET",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048829",
            "telephone_number": "706-660-1177",
            "fax_number": "706-660-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 23RD STREET",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048829",
            "telephone_number": "706-660-1177",
            "fax_number": "706-660-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REKHA G PANVELKAR, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "PANVELKAR",
        "authorized_official_first_name": "REKHA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "706-660-1177",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "034432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000473371A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.