NPIMap

Individual provider Active NPI

Rajesh Govindasamy, M.D.

  • Hospitalist Physician
  • Erie, PA
National Provider Identifier
1649372319
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD418543 Issued in PA
Practice address
300 State St Ste 207
Erie, PA 16507-1429
Phone
(814) 877-3696
Fax
(814) 877-3661
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD418543 PA
Hospitalist Physician 208M00000X MD418543 PA Primary
Internal Medicine Physician 207R00000X MD 418543 PA

Addresses

Primary practice location

300 State St Ste 207
Erie, PA 16507-1429

Mailing address

300 State St Ste 207
Erie, PA 16507-1429
Phone (814) 877-3625

Other practice location 1

1800 E Park Ave
State College, PA 16803-6701
Phone (814) 274-4818

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070815000686 PA Practitioner - Internal MedicinePractitioner - Nephrology 2567494453 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regional Health Services IncGroup PAC ID 4880593722, 572 clinicians
Pennsylvania Hospitalist Group, LLCGroup PAC ID 3870035611, 56 clinicians

Practice addresses (Care Compare)

2160 State Rd
Lancaster, PA 17601-1812
Phone (717) 821-7443

300 State St
Suite 301
Erie, PA 16507-1430
Phone (814) 877-7907

746 Jefferson Ave
Scranton, PA 18510-1624
Phone (570) 348-7100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 418543PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC CurrentSince Apr 4, 2025 Accepting new patients
Regional Health Services Inc Internal Medicine CurrentSince Aug 1, 2019 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Allegheny Clinic Current Accepting new patients
Mount Nittany Medical Center Health Services Inc Internal Medicine CurrentSince Feb 1, 2023 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Aug 20, 2019 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Pennsylvania Hospitalist Group, LLC Hospitalist CurrentSince Oct 10, 2024 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Aug 20, 2019 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Apr 4, 2025 Accepting new patients
Pocono Medical Group & Nephrology Consultants, LLC Internal Medicine Past Accepting new patients

Locations

141 Medical Park Ln
Bellefonte, PA 16823
Phone (814) 355-7322

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

333 State St
Ste 103
Erie, PA 16507

300 State St
Ste 301
Erie, PA 16507
Phone (814) 459-1013

300 State St
Ste 207
Erie, PA 16507
Phone (814) 456-6201

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

2160 State Rd
Lancaster, PA 17601
Phone (223) 287-8222

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

1850 E Park Ave
Ste 201
State College, PA 16803
Phone (814) 234-8800

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

Interoperability endpoints

  • Direct secure messaging: rgovindasamy103950@upmc.direct-ci.com

Organizations & group practices 11

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 11

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1649372319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STATE ST STE 207",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071429",
            "telephone_number": "814-877-3625",
            "fax_number": "814-877-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STATE ST STE 207",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071429",
            "telephone_number": "814-877-3696",
            "fax_number": "814-877-3661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 E Park Ave",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168036701",
            "country_code": "US",
            "telephone_number": "814-274-4818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOVINDASAMY",
        "first_name": "RAJESH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD418543",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD418543",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD 418543",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.