Individual provider Active NPI

Regy Geevarghese Korah, MD

  • Internal Medicine Physician
  • Ruskin, FL
National Provider Identifier
1841444916
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME103640 Issued in FL
Practice address
787 Cortaro Dr
Ruskin, FL 33573-6812
Phone
(813) 634-2500
Fax
(813) 634-3008
NPI assigned
Nov 15, 2008
Last updated
Aug 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01066009A IN
Internal Medicine Physician 207R00000X ME103640 FL Primary

Addresses

Primary practice location

787 Cortaro Dr
Ruskin, FL 33573-6812

Mailing address

787 Cortaro Dr
Sun City Center, FL 33573-6812
Phone (813) 634-2500

Other identifiers 1

IdentifierTypeStateIssuer
000994700MedicaidFL

Other names 1

  • Dr. Regy Rachel Geevarghese Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090527000570 FL Practitioner - Internal Medicine 6800945684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

Practice addresses (Care Compare)

787 Cortaro Dr
Ruskin, FL 33573-6812
Phone (813) 633-9443

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01066009AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Florida LLC Internal Medicine CurrentSince Apr 21, 2009 Accepting new patients
Optumcare Florida, LLC CurrentSince Apr 21, 2009 Accepting new patients
Optumcare Florida Ci, LLC Past Accepting new patients

Locations

1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895

10051 5th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 828-2370

787 Cortaro Dr
Sun City Ctr, FL 33573
Phone (813) 633-9443

Interoperability endpoints

  • Direct secure messaging: regy.korah@wellmed.eclinicaldirectplus.com

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": "1226707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1841444916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 CORTARO DR",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736812",
            "telephone_number": "813-634-2500",
            "fax_number": "813-634-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 CORTARO DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335736812",
            "telephone_number": "813-634-2500",
            "fax_number": "813-634-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORAH",
        "first_name": "REGY",
        "middle_name": "GEEVARGHESE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-15",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01066009A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME103640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000994700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGY",
            "last_name": "GEEVARGHESE",
            "middle_name": "RACHEL",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ruskin, FL

Sources for this page

Verify at the official NPI Registry.