Individual provider Active NPI

Rakhi Garg Sutaria, M.D.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Bronx, NY
National Provider Identifier
1801189568
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
296872 Issued in NY
Practice address
2705 Williamsbridge Rd
Bronx, NY 10469-4109
Phone
(516) 761-5220
Fax
(888) 720-0257
NPI assigned
May 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 55658 CT
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 296872 NY Primary

Addresses

Primary practice location

2705 Williamsbridge Rd
Bronx, NY 10469-4109

Mailing address

11107 77TH Ave
Forest Hills, NY 11375-7044
Phone (516) 761-5220

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
I20190925001524 NY Practitioner - Physical Medicine and Rehabilitation 8224312707 Reassigns benefits to 1 organization
Practice locations: Bronx, NY; Forest Hills, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Indu Garg MD PCGroup PAC ID 4880923895, 4 clinicians

Practice addresses (Care Compare)

2705 Williamsbridge Rd
Bronx, NY 10469-4109
Phone (718) 515-9800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55658CTMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rakhi Sutaria MD PC CurrentSince Jul 29, 2019 Accepting new patients
Indu Garg MD P.C. CurrentSince Jul 1, 2019 Accepting new patients

Locations

2705 Williamsbridge Rd
Bronx, NY 10469
Phone (718) 231-5600

1807 Randall Ave
Bronx, NY 10473
Phone (718) 589-8309

315 White Plains Rd
Bronx, NY 10473
Phone (516) 761-5220

11203 Queens Blvd
Ste 209
Forest Hills, NY 11375
Phone (718) 231-5600

877 Stewart Ave
Ste 16
Garden City, NY 11530
Phone (516) 431-0700

Networks

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

Interoperability endpoints

  • Direct secure messaging: rsutaria@nhr1858.srs-direct.com

Organizations & group practices 2

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": "1306454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1801189568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11107 77TH AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757044",
            "telephone_number": "516-761-5220",
            "fax_number": "888-720-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 WILLIAMSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104694109",
            "telephone_number": "516-761-5220",
            "fax_number": "888-720-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTARIA",
        "first_name": "RAKHI",
        "middle_name": "GARG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-27",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CT",
            "license": "55658",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NY",
            "license": "296872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.