Individual provider Active NPI

Nagaveni Rao, MD

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1750304572
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
141334-1 Issued in NY
Practice address
1970 7TH Ave
New York, NY 10026-1723
Phone
(212) 864-1500
Fax
(212) 864-0500
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 141334-1 NY Primary

Addresses

Primary practice location

1970 7TH Ave
New York, NY 10026-1723

Mailing address

174 Grand St
White Plains, NY 10601-4803
Phone (914) 328-8077

Other identifiers 1

IdentifierTypeStateIssuer
01144398MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20041026001012 NY Practitioner - Physical Medicine and Rehabilitation 9234190802 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
141334-1NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors United, Inc CurrentSince Jan 1, 2016 Accepting new patients
Greater New York Physical Therapy and Chiropractic PLLC CurrentSince Apr 1, 2013 Accepting new patients
TJH Medical Services, P.C. Physical Medicine & Rehabilitation Past Accepting new patients
Rehabilitation Medicine Associates, P.C. Physical Medicine & Rehabilitation Past Accepting new patients

Locations

741 E 233rd St
Bronx, NY 10466
Phone (718) 405-0205

2444 Walton Ave
Bronx, NY 10468
Phone (718) 220-8293

1970 Adam Clayton Powell Jr Blvd
New York, NY 10026
Phone (212) 864-1500

1970 Adam Clayton Powell Jr Blvd
#J
New York, NY 10026
Phone (212) 864-1500

176 Grand St
White Plains, NY 10601
Phone (914) 328-6080

174 Grand St
White Plains, NY 10601
Phone (718) 220-8293

340 S Broadway
Yonkers, NY 10705
Phone (914) 968-5125

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1750304572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 GRAND ST",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014803",
            "telephone_number": "914-328-8077",
            "fax_number": "914-328-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 7TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100261723",
            "telephone_number": "212-864-1500",
            "fax_number": "212-864-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "NAGAVENI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "141334-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01144398",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.