Active NPI
Rajarshi Guha Niyogi
- Student in an Organized Health Care Education/Training Program
- Louisville, KY
National Provider Identifier
1801255393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1703 S 4TH St
Appt 5
Louisville, KY 40208-1671 - Phone
- (518) 364-0126
- NPI assigned
- Feb 12, 2016
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | ZZ | Primary |
Addresses
Primary practice location
1703 S 4TH St
Appt 5
Louisville, KY 40208-1671
Mailing address
1703 S 4TH St
Appt 5
Louisville, KY 40208-1671
Phone (518) 364-0126
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 20, 2021 through Apr 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9809 | KY | MD | Nutrition Support Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604880000000",
"number": "1801255393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1703 S 4TH ST",
"address_2": "APPT 5",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402081671",
"telephone_number": "518-364-0126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1703 S 4TH ST",
"address_2": "APPT 5",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402081671",
"telephone_number": "518-364-0126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUHA NIYOGI",
"first_name": "RAJARSHI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-12",
"last_updated": "2020-11-09",
"certification_date": "2020-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "ZZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.