Individual provider Active NPI

Rajesh Kumar Maheshwari, MD

  • Family Medicine Physician
  • San Ramon, CA
National Provider Identifier
1740431246
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A109707 Issued in CA
Practice address
9140 Alcosta Blvd
Suite D
San Ramon, CA 94583-3858
Phone
(925) 361-5959
Fax
(925) 999-0375
NPI assigned
Oct 2, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A109707 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

9140 Alcosta Blvd
Suite D
San Ramon, CA 94583-3858

Mailing address

9140 Alcosta Blvd
Suite D
San Ramon, CA 94583-3858
Phone (925) 361-5959

Other identifiers 1

IdentifierTypeStateIssuer
A109707OtherCALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160212000943 CA Practitioner - Family Practice 7911143383 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1040 N Main St
Manteca, CA 95336-3745
Phone (209) 825-5155

15810 S Harlan Rd
Suite a
Lathrop, CA 95330-8719
Phone (209) 983-9000

9140 Alcosta Blvd
Suite D
San Ramon, CA 94583-3858
Phone (925) 361-5959

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
109707CAMDDentist
A109707CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Ramon Urgent Care & Clinic CurrentSince Dec 23, 2015 Accepting new patients
Norcal Urgent Care, Inc CurrentSince Jan 10, 2017 Accepting new patients

Locations

1040 N Main St
Manteca, CA 95336
Phone (209) 825-5155

9140 Alcosta Blvd
Ste D
San Ramon, CA 94583
Phone (925) 361-5959

Interoperability endpoints

  • Direct secure messaging: rmaheshwari@srucac-ca.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

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": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447372800000",
    "number": "1740431246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9140 ALCOSTA BLVD",
            "address_2": "SUITE D",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945833858",
            "telephone_number": "925-361-5959",
            "fax_number": "925-999-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9140 ALCOSTA BLVD",
            "address_2": "SUITE D",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945833858",
            "telephone_number": "925-361-5959",
            "fax_number": "925-999-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHESHWARI",
        "first_name": "RAJESH",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-02",
        "last_updated": "2015-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A109707",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A109707",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.