Individual provider Active NPI

Rahul N Pawar, MD

  • Nephrology Physician
  • Rock Springs, WY
National Provider Identifier
1639455090
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
10473A Issued in WY
Practice address
1180 College Dr
Rock Springs, WY 82901-5863
Phone
(307) 212-7711
Fax
(307) 352-8210
NPI assigned
Oct 31, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 10473A WY Primary

Addresses

Primary practice location

1180 College Dr
Rock Springs, WY 82901-5863

Mailing address

PO Box 1359
Rock Springs, WY 82902-1359
Phone (307) 212-7711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160726001942 WY Practitioner - NephrologyPractitioner - Internal Medicine 1658664867 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1180 College Dr
Rock Springs, WY 82901-5863
Phone (307) 352-8125

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.04 of 100Reported as group
Quality
64.43
Promoting interoperability
100
Improvement activities
40
Cost
72.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital of Sweetwater County CurrentSince Jul 1, 2016 Accepting new patients
Memorial Hospital of Sweetwater County CurrentSince Jul 1, 2016 Accepting new patients

Locations

1200 College Dr
Rock Springs, WY 82901
Phone (307) 352-8352

1180 College Dr
Rock Springs, WY 82901
Phone (307) 352-8125

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1639455090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1359",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829021359",
            "telephone_number": "307-212-7711",
            "fax_number": "307-352-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 COLLEGE DR",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015863",
            "telephone_number": "307-212-7711",
            "fax_number": "307-352-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWAR",
        "first_name": "RAHUL",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-31",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WY",
            "license": "10473A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Springs, WY

Sources for this page

Verify at the official NPI Registry.