Active NPI
Gursharn Singh Rakhra, M.D.
- Gastroenterology Physician
- Newport News, VA
National Provider Identifier
1528093143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 0101242788
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64018070 | Medicaid | KY | |
| CB5773 | Other | KY | RR MEDICARE GROUP |
| 100014797 | Other | KY | RR MEDICARE PIN |
| 37903705 | Other | KY | MEDICAID LAB GROUP |
| 4000501 | Other | KY | MEDICARE 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101242788 | VA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Digestive Care LLC | Gastroenterology | Current | Accepting new patients |
| Capital Digestive Care, LLC | Gastroenterology | Current | 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
- 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.
-
- Gastroenterology Physician
- Williamsburg, VA
- NPI 1992752521
-
- Gastroenterology Physician
- Chesapeake, VA
- NPI 1225246812
-
- Gastroenterology Physician
- Temple Hills, MD
- NPI 1437997988
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.