Active NPI
Rafat M Gheewala, M.D.
- Diagnostic Radiology Physician
- Newton Highlands, MA
National Provider Identifier
1699862730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 75078
- Practice address
- 1007 Walnut St
Newton Highlands, MA 02461-1134 - Phone
- (617) 244-8152
- NPI assigned
- Oct 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 75078 | MA | Primary |
Addresses
Primary practice location
1007 Walnut St
Newton Highlands, MA 02461-1134
Mailing address
1007 Walnut St
Newton, MA 02461-1134
Phone (617) 244-8152
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75078 | MA | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699862730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 WALNUT ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024611134",
"telephone_number": "617-244-8152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 WALNUT ST",
"city": "NEWTON HIGHLANDS",
"state": "MA",
"postal_code": "024611134",
"telephone_number": "617-244-8152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHEEWALA",
"first_name": "RAFAT",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "75078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton Highlands, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.