Active NPI
Shivender K Thakur
- Internal Medicine Physician
- Rochester, NY
National Provider Identifier
1750323010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 192844
- Practice address
- 890 Westfall Rd
Suite B
Rochester, NY 14618-2610 - Phone
- (585) 442-6960
- Fax
- (585) 442-3548
- NPI assigned
- Jun 12, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 192844 | NY | Primary |
Addresses
Primary practice location
890 Westfall Rd
Suite B
Rochester, NY 14618-2610
Mailing address
890 Westfall Rd
Suite B
Rochester, NY 14618-2610
Phone (585) 442-6960
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00027284401 | Other | NY | UNIVERA # |
| 050906000002 | Other | NY | FIDELIS CARE # |
| 192844-9W | Other | NY | WORKERS COMP # |
| 0491669 | Other | NY | IHA # |
| P010192844 | Other | NY | BLUE CHOICE # |
| 101474BJ | Other | NY | PREFERRED CARE # |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273536000000",
"number": "1750323010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 WESTFALL RD",
"address_2": "SUITE B",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146182610",
"telephone_number": "585-442-6960",
"fax_number": "585-442-3548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 WESTFALL RD",
"address_2": "SUITE B",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146182610",
"telephone_number": "585-442-6960",
"fax_number": "585-442-3548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAKUR",
"first_name": "SHIVENDER",
"middle_name": "K",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2010-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "192844",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA #",
"identifier": "00027284401",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS CARE #",
"identifier": "050906000002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP #",
"identifier": "192844-9W",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA #",
"identifier": "0491669",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE #",
"identifier": "P010192844",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE #",
"identifier": "101474BJ",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.