Individual provider Active NPI

Rahul Kumar Thakur, M.D.

  • Internal Medicine Physician
  • Buffalo, NY
National Provider Identifier
1548844335
Registry record updated Mar 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
334352 Issued in NY
Practice address
Elm & Carlton STS CSC Building 8TH Floor 8C4A
Buffalo, NY 14263-0001
Phone
(716) 845-3159
NPI assigned
May 8, 2021
Reactivated
Aug 9, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 334352 NY Primary

Addresses

Primary practice location

Elm & Carlton STS CSC Building 8TH Floor 8C4A
Buffalo, NY 14263-0001

Mailing address

Elm & Carlton STS CSC Building 8TH Floor 8C4A
Buffalo, NY 14263-1370
Phone (347) 593-2896

Other practice location 1

1400 Pelham Parkway South
Bronx, NY 10461
Phone (718) 918-5642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
334352NYMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1620432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743292800000",
    "number": "1548844335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ELM & CARLTON STS CSC BUILDING 8TH FLOOR 8C4A",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142631370",
            "telephone_number": "347-593-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ELM & CARLTON STS CSC BUILDING 8TH FLOOR 8C4A",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142630001",
            "telephone_number": "716-845-3159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Pelham Parkway South",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "10461",
            "country_code": "US",
            "telephone_number": "718-918-5642",
            "fax_number": "718-918-3174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAKUR",
        "first_name": "RAHUL",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-08",
        "last_updated": "2025-03-30",
        "certification_date": "2025-03-30",
        "deactivation_date": "2022-07-15",
        "reactivation_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "334352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.