Individual provider Active NPI

Rakeshkumar Kaneria, MD

  • Psychiatry Physician
  • West Chester, OH
National Provider Identifier
1740347566
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35083440 Issued in OH
Practice address
7760 West Voa Park Dr
Suite G
West Chester, OH 45069-3371
Phone
(513) 217-5221
Fax
(513) 217-6221
NPI assigned
Jan 2, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35083440 OH Primary

Addresses

Primary practice location

7760 West Voa Park Dr
Suite G
West Chester, OH 45069-3371

Mailing address

PO Box 635924
Cincinnati, OH 45263-5924
Phone (513) 217-5221

Other identifiers 4

IdentifierTypeStateIssuer
000000547707OtherOHANTHEM
2504678MedicaidOH
9178122OtherOHAETNA BEHAVIORAL
293747OtherOHAMERIGROUP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040824000742 OH Practitioner - Psychiatry 2567436637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7760 W Voa Park Dr
Suite G
West Chester, Oh, OH 45069-3371
Phone (513) 217-5221

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35083440OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Psychiatric Center, Inc. Psychiatry CurrentSince Sep 10, 2007 Accepting new patients
Psychiatric Professional Services Psychiatry Past Accepting new patients
Transitional Living Past Accepting new patients
Beckett Springs, LLC Past Accepting new patients

Organizations & group practices 4

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 3

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1740347566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635924",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635924",
            "telephone_number": "513-217-5221",
            "fax_number": "513-217-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7760 WEST VOA PARK DR",
            "address_2": "SUITE G",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450693371",
            "telephone_number": "513-217-5221",
            "fax_number": "513-217-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANERIA",
        "first_name": "RAKESHKUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35083440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000547707",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2504678",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BEHAVIORAL",
            "identifier": "9178122",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "293747",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

Verify at the official NPI Registry.