Daleep Karan Rathore, MD

Individual provider Active NPI Psychiatry Physician · Bridgeville, PA

NPI 1497869036 · NPPES record last updated Dec 12, 2007

Key facts

NPI
1497869036
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
MD053698L (PA)
Practice address
1601 Mayview Rd
Bridgeville, PA 15017-1547
Phone
(412) 257-6500
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050106000044 PA Practitioner - Psychiatry 9638127798 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD053698LPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Department of Public Welfare Current
since Oct 4, 2009
Accepting new patients
Pennsylvania Department of Human Services Current
since Oct 4, 2009
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD053698L PA Yes

Addresses

Primary practice location

1601 Mayview Rd
Bridgeville, PA 15017-1547

Mailing address

1785 Partridge Run Rd
Pittsburgh, PA 15241-2823
Phone (412) 854-3313

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 12, 2007.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1497869036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 PARTRIDGE RUN RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152412823",
            "telephone_number": "412-854-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MAYVIEW RD",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171547",
            "telephone_number": "412-257-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATHORE",
        "first_name": "DALEEP",
        "middle_name": "KARAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD053698L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeville, PA

All providers in Bridgeville, PA · Psychiatry Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.