Active NPI
Rakesh Nanda, M.D.
- Family Medicine Physician
- Sidney, OH
National Provider Identifier
1720239064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35.093863
- Practice address
- 661 N Vandemark Rd
Sidney, OH 45365-3552 - Phone
- (937) 498-5522
- Fax
- (937) 498-5594
- NPI assigned
- Oct 6, 2008
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35.093863 | OH | Primary |
| Family Medicine Physician | 207Q00000X | MT187522 | PA |
Addresses
Primary practice location
661 N Vandemark Rd
Sidney, OH 45365-3552
Mailing address
661 N Vandemark Rd
Sidney, OH 45365-3552
Phone (937) 498-5522
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2959633 | Medicaid | OH |
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 |
|---|---|---|---|
| MT187522 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JTDM Family Practice LLC | Family Medicine | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Saint Marys, OH
- NPI 1184652539
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387324800000",
"number": "1720239064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "661 N VANDEMARK RD",
"city": "SIDNEY",
"state": "OH",
"postal_code": "453653552",
"telephone_number": "937-498-5522",
"fax_number": "937-498-5594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "661 N VANDEMARK RD",
"city": "SIDNEY",
"state": "OH",
"postal_code": "453653552",
"telephone_number": "937-498-5522",
"fax_number": "937-498-5594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NANDA",
"first_name": "RAKESH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-06",
"last_updated": "2013-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.093863",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MT187522",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2959633",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sidney, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.