NPIMap

Organization Active NPI

Rajendra P Koirala, M.D., LLC

Doing business as Restore Compassionate Behavioral Health

  • Psychiatry Physician
  • Youngstown, OH
National Provider Identifier
1760977177
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35.091058 Issued in OH
Legal business name
RAJENDRA P KOIRALA, M.D., LLC
Doing business as
Restore Compassionate Behavioral Health
Practice address
725 Boardman Canfield Rd Ste L1
Youngstown, OH 44512
Phone
(234) 254-0612
NPI assigned
Jun 27, 2018
Last updated
Jun 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

Authorized official

Name
Dr. Rajendra P Koirala, MDNPI 1952588972
Title
Owner
Phone
(234) 254-0612

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35.091058 OH Primary

Addresses

Primary practice location

725 Boardman Canfield Rd Ste L1
Youngstown, OH 44512

Mailing address

725 Boardman Canfield Rd Ste L1
Boardman, OH 44512-4370
Phone (234) 254-0612

Other names 1

  • Restore Compassionate Behavioral Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190110002117 OH Part B Supplier - Clinic/Group Practice 8820334931 Receives reassigned benefits from 39 practitioners
Practice locations: Austintown, OH; Boardman, OH; Youngstown, OH

National Provider Directory

National Provider Directory

Locations

16 Evans Ave
Youngstown, OH 44515
Phone (330) 330-8655

725 Boardman Canfield Rd
Ste I
Youngstown, OH 44512
Phone (330) 330-8655

725 Boardman Canfield Rd
Ste M
Youngstown, OH 44512
Phone (330) 330-8655

725 Boardman Canfield Rd
Ste M2
Youngstown, OH 44512
Phone (330) 330-8655

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530230400000",
    "number": "1760977177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 BOARDMAN CANFIELD RD STE L1",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124370",
            "telephone_number": "234-254-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 BOARDMAN CANFIELD RD STE L1",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44512",
            "telephone_number": "234-254-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJENDRA P KOIRALA, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-29",
        "status": "A",
        "authorized_official_last_name": "KOIRALA",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "234-254-0612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.091058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore Compassionate Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.