Active NPI
Regy Geevarghese Korah, MD
- Internal Medicine Physician
- Ruskin, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME103640
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000994700 | Medicaid | FL |
Other names 1
- Dr. Regy Rachel Geevarghese
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01066009A | IN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optumcare Florida LLC | Internal Medicine | Current | Accepting new patients |
| Optumcare Florida, LLC | Current | 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
- 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.
-
dba Optum
- General Practice Physician
- Tampa, FL
- NPI 1053384214
Internal Medicine
-
- Primary Care Clinic/Center
- Winter Park, FL
- NPI 1720506603
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.