Individual provider Active NPI

Rajesh Harrilal, ARNP

  • Nurse Practitioner
  • Atlantis, FL
National Provider Identifier
1821033986
Registry record updated Jun 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP 2116922 Issued in FL
Practice address
5503 S Congress Ave
Suite 206
Atlantis, FL 33462-6625
Phone
(561) 434-0353
NPI assigned
Jun 20, 2006
Last updated
Jun 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP 2116922 FL Primary

Addresses

Primary practice location

5503 S Congress Ave
Suite 206
Atlantis, FL 33462-6625

Mailing address

180 JFK Dr
Suite 311
Atlantis, FL 33462-6607
Phone (561) 434-0353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050729000754 FL Practitioner - Nurse Practitioner 2365470432 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP 2116922FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Electrophysiology Associates PA CurrentSince Aug 6, 2020 Accepting new patients
Palm Beach Heart Associates PA Past Accepting new patients
Thoracic & Cardiovascular Surgeons LLC Past Accepting new patients

Locations

5503 S Congress Ave
Ste 206
Lake Worth, FL 33462
Phone (561) 433-0591

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHGBDA

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654387200000",
    "number": "1821033986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 JFK DR",
            "address_2": "SUITE 311",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626607",
            "telephone_number": "561-434-0353",
            "fax_number": "561-357-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5503 S CONGRESS AVE",
            "address_2": "SUITE 206",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626625",
            "telephone_number": "561-434-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRILAL",
        "first_name": "RAJESH",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2022-06-05",
        "certification_date": "2022-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 2116922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.