Individual provider Active NPI

Rahul Kataria, M.D.

  • Pediatrics Physician
  • Greer, SC
National Provider Identifier
1811254287
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
86345 Issued in SC
Practice address
106 Physicians Dr
Greer, SC 29650-2445
Phone
(864) 797-9100
Fax
(864) 241-9239
NPI assigned
Apr 23, 2012
Last updated
Jun 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Q5450 TX
Pediatrics Physician 208000000X 86345 SC Primary

Addresses

Primary practice location

106 Physicians Dr
Greer, SC 29650-2445

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other practice location 1

200 N Nelson Dr
Fountain Inn, SC 29644
Phone (864) 522-6270

Other identifiers 1

IdentifierTypeStateIssuer
863453MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20210921002519 SC Practitioner - Pediatric Medicine 2769782499 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
86345SCMDPediatrics Physician
Q5450TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Sep 13, 2021 Accepting new patients
Prisma Health University Medical Group Pediatrics CurrentSince Sep 13, 2021 Accepting new patients
Associated Cardiology Consultants of New Mexico PastSince May 5, 2018 Accepting new patients

Locations

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

200 N Nelson Dr
Fountain Inn, SC 29644
Phone (864) 522-6270

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

300 E McBee Ave
Ste 401
Greenville, SC 29601

106 Physicians Dr
Greer, SC 29650
Phone (864) 797-9100

Interoperability endpoints

  • Direct secure messaging: rahul.kataria@direct.myhealthep.org
  • Direct secure messaging: rkataria517951@direct.ghs.myhfn.org

Organizations & group practices 3

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": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1811254287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PHYSICIANS DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296502445",
            "telephone_number": "864-797-9100",
            "fax_number": "864-241-9239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 N Nelson Dr",
            "address_purpose": "LOCATION",
            "city": "Fountain Inn",
            "state": "SC",
            "postal_code": "29644",
            "country_code": "US",
            "telephone_number": "864-522-6270",
            "fax_number": "864-522-6275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATARIA",
        "first_name": "RAHUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-23",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q5450",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "86345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "863453",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

Verify at the official NPI Registry.