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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050106000044 | PA | Practitioner - Psychiatry | 9638127798 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD053698L | PA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania Department of Public Welfare | Current |
Accepting new patients | |
| Pennsylvania Department of Human Services | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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": []
}
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All providers in Bridgeville, PA · Psychiatry Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.