NPIMap

Organization Active NPI

Santosh Rastogi MD PC

  • Psychiatry Physician
  • Troy, MI
National Provider Identifier
1639443591
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
SR349068 Issued in MI
Legal business name
SANTOSH RASTOGI MD PC
Practice address
837 Jordan Dr
Troy, MI 48098-5627
Phone
(248) 891-3123
Fax
(248) 828-9712
NPI assigned
Feb 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Authorized official

Name
Santosh Rastogi, MDNPI 1043327117
Title
Doctor
Phone
(248) 891-3123

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X SR349068 MI Primary

Addresses

Primary practice location

837 Jordan Dr
Troy, MI 48098-5627

Mailing address

837 Jordan Dr
Troy, MI 48098-5627
Phone (248) 891-3123

Other identifiers 3

IdentifierTypeStateIssuer
260636811OtherBLUE CROSS
3015553MedicaidMI
1093711459OtherNPI-CCC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120419000759 MI Part B Supplier - Clinic/Group Practice 1557522414 Receives reassigned benefits from 1 practitioner
Practice locations: Madison Heights, MI; Warren, MI; Detroit, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1639443591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 JORDAN DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480985627",
            "telephone_number": "248-891-3123",
            "fax_number": "248-828-9712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 JORDAN DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480985627",
            "telephone_number": "248-891-3123",
            "fax_number": "248-828-9712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTOSH RASTOGI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "RASTOGI",
        "authorized_official_first_name": "SANTOSH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "248-891-3123",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "SR349068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "260636811",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3015553",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-CCC",
            "identifier": "1093711459",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.