Active NPI
Rajinder M. Gulati, MD
- Nuclear Radiology Physician
- Cape Girardeau, MO
National Provider Identifier
1639183940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Radiology Physician
- License
- 2005023119
- Practice address
- 70 Doctors Park
Cape Girardeau, MO 63703-4928 - Phone
- (573) 334-6071
- Fax
- (573) 334-4739
- NPI assigned
- Jul 29, 2006
- Last updated
- Nov 13, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Radiology Physician | 2085N0904X | 2005023119 | MO | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 2005023119 | MO |
Addresses
Primary practice location
70 Doctors Park
Cape Girardeau, MO 63703-4928
Mailing address
70 Doctors Park
Cape Girardeau, MO 63703-4928
Phone (573) 334-6071
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 185214 | Other | MO BLUE CROSS BLUE SHIELD | |
| 207354705 | Medicaid | MO | |
| 430954380CAP | Other | MERCY HEALTH PLAN | |
| 036-660634 | Other | IL | IL BLUE CROSS BLUE SHIELD |
| 063896 | Other | HEALTH ALLIANCE | |
| 123361 | Other | HEALTHLINK | |
| 036060634-4 | Medicaid | IL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005023119 | MO | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384300800000",
"number": "1639183940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 DOCTORS PARK",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637034928",
"telephone_number": "573-334-6071",
"fax_number": "573-334-4739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 DOCTORS PARK",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637034928",
"telephone_number": "573-334-6071",
"fax_number": "573-334-4739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULATI",
"first_name": "RAJINDER",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-29",
"last_updated": "2013-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "MO",
"license": "2005023119",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2005023119",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MO BLUE CROSS BLUE SHIELD",
"identifier": "185214",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207354705",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY HEALTH PLAN",
"identifier": "430954380CAP",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL BLUE CROSS BLUE SHIELD",
"identifier": "036-660634",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "063896",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "123361",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036060634-4",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.