NPIMap

Individual provider Active NPI

Rahul K Naidu, MD

  • Facial Plastic Surgery Physician
  • Latrobe, PA
National Provider Identifier
1740388701
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
042822L Issued in PA
Practice address
100 Excela Health Dr Ste 102
Latrobe, PA 15650-9001
Phone
(724) 804-1760
Fax
(724) 804-1762
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 042822L PA
Facial Plastic Surgery Physician 207YS0123X 042822L PA Primary

Addresses

Primary practice location

100 Excela Health Dr Ste 102
Latrobe, PA 15650-9001

Mailing address

520 Jefferson Ave
Suite 400
Jeannette, PA 15644-2538
Phone (724) 527-8060

Other identifiers 1

IdentifierTypeStateIssuer
0012456990002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20051014000539 PA Practitioner - Otolaryngology 3173592664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Columbia University College of Physicians and Surgeons, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

8775 Norwin Ave
Suite 113
North Huntingdon, PA 15642-7705
Phone (724) 765-1223

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042822LPAMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc Current Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Oct 1, 2012 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Oct 1, 2012 Accepting new patients
Excela Health Physician Practices, Inc Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Pathways Human Services of Pennsylvania, LLC PastSince Oct 1, 2020 Accepting new patients

Locations

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

100 Excela Health Dr
Ste 102
Latrobe, PA 15650
Phone (724) 804-1760

8775 Norwin Ave
Ste 113
North Huntingdon, PA 15642
Phone (724) 765-1223

Interoperability endpoints

  • Direct secure messaging: rnaidu@direct.excelahealth.org
  • Direct secure messaging: rahulnaidu@emg.allscriptsdirect.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1740388701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 JEFFERSON AVE",
            "address_2": "SUITE 400",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156442538",
            "telephone_number": "724-527-8060",
            "fax_number": "724-522-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EXCELA HEALTH DR STE 102",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156509001",
            "telephone_number": "724-804-1760",
            "fax_number": "724-804-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIDU",
        "first_name": "RAHUL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "042822L",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "PA",
            "license": "042822L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012456990002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Latrobe, PA

Sources for this page

Verify at the official NPI Registry.