Active NPI
Rajesh K Narula, M.D.
- Nephrology Physician
- Midwest City, OK
National Provider Identifier
1821079500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 207RN0300X
- Practice address
- 1380 S Douglas Blvd
Midwest City, OK 73130-5215 - Phone
- (405) 737-0881
- Fax
- (405) 737-0899
- NPI assigned
- Nov 9, 2005
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 207RN0300X | OK | Primary |
Addresses
Primary practice location
1380 S Douglas Blvd
Midwest City, OK 73130-5215
Mailing address
500 W Broadway St 4TH Floor
Providence Neph of Mt
Missoula, MT 59802-4096
Phone (406) 327-1918
Other practice location 1
500 W Broadway St Fl 4
Missoula, MT 59802-4008
Phone (406) 327-7000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100017630A | Medicaid | OK | |
| 200028420A | Medicaid | OK | |
| 731570351-001 | Other | OK | BCBS DR PROVIDER |
| 731602722-001 | Other | OK | BCBS GROUP ID |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rnarula593375@wm.providencedirect.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207RN0300X | OK | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Health Care, LLC | Past | Accepting new patients | |
| Nephrology and Hypertension Clinic, PC | Nephrology | Past | Accepting new patients |
Interoperability endpoints
- rnarula593375@wm.providencedirect.org
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.
-
- Nephrology Physician
- Midwest City, OK
- NPI 1548473184
-
- Skilled Nursing Facility
- Oklahoma City, OK
- NPI 1376584177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1821079500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W BROADWAY ST 4TH FLOOR",
"address_2": "PROVIDENCE NEPH OF MT",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024096",
"telephone_number": "406-327-1918",
"fax_number": "406-549-2246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 S DOUGLAS BLVD",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731305215",
"telephone_number": "405-737-0881",
"fax_number": "405-737-0899"
}
],
"practiceLocations": [
{
"address_1": "500 W Broadway St Fl 4",
"address_purpose": "LOCATION",
"city": "Missoula",
"state": "MT",
"postal_code": "598024008",
"country_code": "US",
"telephone_number": "406-327-7000",
"fax_number": "406-541-7150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NARULA",
"first_name": "RAJESH",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-09",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "OK",
"license": "207RN0300X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100017630A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200028420A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS DR PROVIDER",
"identifier": "731570351-001",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP ID",
"identifier": "731602722-001",
"state": "OK"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rnarula593375@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "500 W Broadway St Fl 4",
"city": "Missoula",
"state": "MT",
"country_code": "US",
"postal_code": "598024008",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Midwest City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.