Katherine Joanna Rakoczy, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

12808 Issued in FL

Practice address

17105 Gulf Pine Cir
Wellington, FL 33414-6354

Phone

(850) 375-1137

NPI assigned

Aug 11, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: krakoczy28875@tuftsmedicine.direct-ci.com
• Direct secure messaging: krakoczy528114@nyumc.direct-ci.com

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.

• New York University

  dba NYU Faculty Group Practice

  • Cardiovascular Disease Physician
  • Boynton Beach, FL
  • NPI 1285826438

  NY, Pediatrics

  Medicare reassignment NPD
• New York University

  dba NYU Langone Ambulatory Care Chelsea

  • Physical Medicine & Rehabilitation Physician
  • Boynton Beach, FL
  • NPI 1104787613
  NPD
• NYU Langone Hospitals

  • General Acute Care Hospital
  • New York, NY
  • NPI 1801992631
  NPD (past)

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1811143803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 SE 24TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326418796",
            "telephone_number": "850-375-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17105 GULF PINE CIR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146354",
            "telephone_number": "850-375-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKOCZY",
        "first_name": "KATHERINE",
        "middle_name": "JOANNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-11",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "12808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline M Rahman, A.R.N.P.
• Steven Earnest Rahman, MD
• Sal Raichbach, LCSW
• Rainbow Medical Equipment & Supplies
• Suresh Rajamanickam, M.D.
• Jihan Inez Ramadan, PA
• Stacie I Ramey, CCC SLP
• Reinier Alejandro Ramirez Diaz
• Shayra Ramirez
• Ramshore LLC (Wellington Pharmacy and Compounding Center)

• Pediatrics Physician in Wellington, FL
• Providers in Wellington, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.