Rasila A. Thakkar, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

169916 Issued in NY

Practice address

2702 Alexander St
Endwell, NY 13760-2332

Phone

(607) 785-5572

NPI assigned

Mar 14, 2012

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

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1831464452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 ALEXANDER ST",
            "city": "ENDWELL",
            "state": "NY",
            "postal_code": "137602332",
            "telephone_number": "607-785-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 ALEXANDER ST",
            "city": "ENDWELL",
            "state": "NY",
            "postal_code": "137602332",
            "telephone_number": "607-785-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKKAR",
        "first_name": "RASILA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "169916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Stenta, PT, DPT
• Keira Strong
• Douglas K Sullivan, D.C.
• Shantel Sustello
• Duncan Sze-Tu, MD
• Michael Tunick, DO
• Union Volunteer Emergency Squad, Inc.
• Melissa Suzanne Vazquez, LPN
• Susanna Villarreal, MSC., LMSW
• Thalia Vithoulkas, MS,RD,CDN

• General Practice Physician in Endwell, NY
• Providers in Endwell, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.