NPIMap

Organization Active NPI

Rajeswara Rao Patcha, MD,PC

Doing business as The Huntington Heart Center

  • Cardiovascular Disease Physician
  • Huntington, NY
National Provider Identifier
1609851807
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
RAJESWARA RAO PATCHA, MD,PC
Doing business as
The Huntington Heart Center
Practice address
172 E Main St
Huntington, NY 11743-2948
Phone
(631) 385-0022
Fax
(631) 385-0896
NPI assigned
Dec 9, 2005
Last updated
Mar 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Authorized official

Name
Dr. Rajeswara Rao Patcha, MDNPI 1104829407
Title
President
Phone
(631) 385-0022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X
Cardiovascular Disease Physician 207RC0000X Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X
Critical Care Medicine (Internal Medicine) Physician 207RC0200X
Interventional Cardiology Physician 207RI0011X
Pulmonary Disease Physician 207RP1001X
Nuclear Cardiology Physician 207UN0901X
Sleep Medicine (Internal Medicine) Physician 207RS0012X
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X

Addresses

Primary practice location

172 E Main St
Huntington, NY 11743-2948

Mailing address

172 E Main St
Huntington, NY 11743-2948
Phone (631) 385-0022

Other identifiers 1

IdentifierTypeStateIssuer
03796486MedicaidNY

Other names 1

  • The Huntington Heart Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040311000846 NY Part B Supplier - Clinic/Group Practice 9638068323 Receives reassigned benefits from 8 practitioners
Practice locations: Woodbury, NY; Northport, NY; New Hyde Park, NY; Manhasset, NY; Huntington, NY; Deer Park, NY; Centerport, NY; Bay Shore, NY…

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1021090Rajeswara Rao Patcha MD PC172 East Main Street, Huntington, NY 11743Certificate of waiverJan 11, 2028

National Provider Directory

National Provider Directory

Locations

373 W Main St
Babylon, NY 11702
Phone (516) 822-6655

31 Centershore Rd
Centerport, NY 11721
Phone (631) 425-1292

16 Van Cott Rd
Ste 2E
Deer Park, NY 11729
Phone (631) 274-0777

206 Fallwood Pkwy
#C
Farmingdale, NY 11735

125 Oakland Ave
Ste 203
Prt Jefferson, NY 11777
Phone (631) 686-2551

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1609851807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 E MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432948",
            "telephone_number": "631-385-0022",
            "fax_number": "631-385-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 E MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432948",
            "telephone_number": "631-385-0022",
            "fax_number": "631-385-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJESWARA RAO PATCHA, MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "PATCHA",
        "authorized_official_first_name": "RAJESWARA",
        "authorized_official_middle_name": "RAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-385-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03796486",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Huntington Heart Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Huntington Heart Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.