Active NPI
Rajeshkumar Motilal Miniyar, M.D.
- Pediatrics Physician
- Dalton, GA
National Provider Identifier
1790706596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 051597
- Practice address
- 711 Shields Rd
Dalton, GA 30720-5013 - Phone
- (706) 278-6628
- Fax
- (706) 278-6650
- NPI assigned
- Jul 21, 2006
- Last updated
- Sep 14, 2011
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 051597 | GA | Primary |
Addresses
Primary practice location
711 Shields Rd
Dalton, GA 30720-5013
Mailing address
140 Three Rivers Dr NE
Rome, GA 30161-4999
Phone (706) 232-1300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000954346B | Medicaid | GA | |
| 299653708A | Medicaid | GA |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051597 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Miniyars Pediatrics, P.C. | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315958400000",
"number": "1790706596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 THREE RIVERS DR NE",
"city": "ROME",
"state": "GA",
"postal_code": "301614999",
"telephone_number": "706-232-1300",
"fax_number": "706-232-1039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 SHIELDS RD",
"city": "DALTON",
"state": "GA",
"postal_code": "307205013",
"telephone_number": "706-278-6628",
"fax_number": "706-278-6650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINIYAR",
"first_name": "RAJESHKUMAR",
"middle_name": "MOTILAL",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2011-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "051597",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000954346B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "299653708A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.