NPIMap

Individual provider Active NPI

Rahul Gilotra, MD

  • Gastroenterology Physician
  • Wheaton, MD
National Provider Identifier
1730299298
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D0032417 Issued in MD
Practice address
12016 Georgia Avenue
Wheaton, MD 20902-2004
Phone
(301) 942-2105
Fax
(301) 942-0670
NPI assigned
Aug 30, 2006
Last updated
Oct 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0032417 MD
Gastroenterology Physician 207RG0100X D0032417 MD Primary

Addresses

Primary practice location

12016 Georgia Avenue
Wheaton, MD 20902-2004

Mailing address

12016 Georgia Ave
Wheaton, MD 20902-2004
Phone (301) 942-2105

Other identifiers 1

IdentifierTypeStateIssuer
548671800MedicaidMD

Other names 1

  • Rahul Gilotra Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20120201000352 DC Practitioner - GastroenterologyPractitioner - Internal Medicine 9830162098 Receives reassigned benefits from 5 practitioners
Practice locations: Wheaton, MD

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12016 Georgia Ave
Wheaton, MD 20902-2004
Phone (301) 942-2105

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy131
Upper gastrointestinal (GI) endoscopy for acid reflux171

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mohamed Wajeed Khan, M.D. L.L.C. Internal Medicine Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Advanced Surgery Center,LLC PastSince Apr 30, 2003 Accepting new patients

Locations

12016 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-2015

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 3

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.

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1730299298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12016 GEORGIA AVE",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209022004",
            "telephone_number": "301-942-2105",
            "fax_number": "301-942-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12016 GEORGIA AVENUE",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209022004",
            "telephone_number": "301-942-2105",
            "fax_number": "301-942-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILOTRA",
        "first_name": "RAHUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0032417",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D0032417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "548671800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAHUL",
            "last_name": "GILOTRA",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wheaton, MD

Sources for this page

Verify at the official NPI Registry.