Active NPI
Raul Rodriguez-Feo, MD
- Geriatric Psychiatry Physician
- Johnstown, PA
National Provider Identifier
1740278258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- MD041428E
- Practice address
- 132 Walnut St
Johnstown, PA 15901-1621 - Phone
- (814) 536-7386
- Fax
- (814) 536-7593
- NPI assigned
- Oct 10, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | MD041428E | PA | Primary |
Addresses
Primary practice location
132 Walnut St
Johnstown, PA 15901-1621
Mailing address
132 Walnut St
Johnstown, PA 15901-1621
Phone (814) 536-7386
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01174425 | Medicaid | PA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conemaugh Health Initiatives | Past | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Farhad Salari-Lak | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- New Paris, PA
- NPI 1487724597
-
- Anesthesiology Physician
- Uniontown, PA
- NPI 1205009701
-
dba Windber Medical Center
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302652800000",
"number": "1740278258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 WALNUT ST",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159011621",
"telephone_number": "814-536-7386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 WALNUT ST",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159011621",
"telephone_number": "814-536-7386",
"fax_number": "814-536-7593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ-FEO",
"first_name": "RAUL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-10",
"last_updated": "2011-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "PA",
"license": "MD041428E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01174425",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.