Individual provider Active NPI

Gursharn Singh Rakhra, M.D.

  • Gastroenterology Physician
  • Newport News, VA
National Provider Identifier
1528093143
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0101242788 Issued in VA
Practice address
11803 Jefferson Ave Ste 230
Newport News, VA 23606-4390
Phone
(757) 534-7701
Fax
(757) 534-7708
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 0101242788 VA Primary

Addresses

Primary practice location

11803 Jefferson Ave Ste 230
Newport News, VA 23606-4390

Mailing address

11803 Jefferson Ave Ste 230
Newport News, VA 23606-4390
Phone (757) 534-7701

Other identifiers 5

IdentifierTypeStateIssuer
64018070MedicaidKY
CB5773OtherKYRR MEDICARE GROUP
100014797OtherKYRR MEDICARE PIN
37903705OtherKYMEDICAID LAB GROUP
4000501OtherKYMEDICARE LAB GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080915000388 VA Practitioner - GastroenterologyPractitioner - Internal Medicine 2062588155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101242788VAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Digestive Care LLC Gastroenterology CurrentSince Oct 16, 2021 Accepting new patients
Capital Digestive Care, LLC Gastroenterology CurrentSince Oct 16, 2021 Accepting new patients

Locations

113 Gainsborough Sq
Ste 101
Chesapeake, VA 23320
Phone (757) 436-3285

11803 Jefferson Ave
Ste 230
Newport News, VA 23606
Phone (757) 534-7701

400 Sentara Cir
Ste 103
Williamsburg, VA 23188
Phone (757) 253-5771

Interoperability endpoints

  • FHIR API: https://b9dda605-4d4e-4319-b477-73b223ba7709.gastro.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1528093143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11803 JEFFERSON AVE STE 230",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064390",
            "telephone_number": "757-534-7701",
            "fax_number": "757-534-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11803 JEFFERSON AVE STE 230",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064390",
            "telephone_number": "757-534-7701",
            "fax_number": "757-534-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKHRA",
        "first_name": "GURSHARN",
        "middle_name": "SINGH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101242788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64018070",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "CB5773",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "100014797",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID LAB GROUP",
            "identifier": "37903705",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LAB GROUP",
            "identifier": "4000501",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.