Individual provider Active NPI

Minakshi Rajpoot

  • Adult Health Nurse Practitioner
  • Riverhead, NY
National Provider Identifier
1851715007
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F306769-1 Issued in NY
Practice address
1300 Roanoke Ave
Riverhead, NY 11901-2031
Phone
(631) 548-6440
NPI assigned
Feb 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F306769-1 NY Primary

Addresses

Primary practice location

1300 Roanoke Ave
Riverhead, NY 11901-2031

Mailing address

1300 Roanoke Ave
Riverhead, NY 11901-2031
Phone (631) 548-6440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140926000500 NY Practitioner - Nurse Practitioner 8224258207 Reassigns benefits to 2 organizations
I20230419000005 TX Practitioner - Nurse Practitioner 8224258207 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VMD Primary Providers North Texas PLLCGroup PAC ID 2769896190, 20 clinicians

Practice addresses (Care Compare)

1890 N Stonebridge Dr
Suite 320
McKinney, TX 75071-7564
Phone (972) 525-9900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F306769-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Partner Medical Clinic PLLC CurrentSince Jul 1, 2025 Accepting new patients
Revive PCMS Frisco LLC CurrentSince Dec 15, 2025 Accepting new patients
Central Suffolk Hospital CurrentSince May 10, 2015 Accepting new patients
Revive Med Partners I LLC CurrentSince Dec 15, 2025 Accepting new patients
VMD Primary Providers North Texas, PLLC CurrentSince Jul 1, 2025 Accepting new patients
Preferred Professional Medical Care PC CurrentSince Jun 2, 2014 Accepting new patients
Central Suffolk Hosptial CurrentSince May 10, 2015 Accepting new patients
Southern Endocrinology PastSince Sep 9, 2024 Accepting new patients

Locations

1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000

3505 Veterans Memorial Hwy
Ste C
Ronkonkoma, NY 11779
Phone (631) 676-7556

5001 Ross Ave
#120
Dallas, TX 75206
Phone (214) 269-5002

2115 University Dr
Ste 240
Frisco, TX 75033
Phone (214) 548-5033

9055 Katy Fwy
Ste 200
Houston, TX 77024
Phone (346) 980-2701

2570 Justin Rd
Ste 160
Lewisville, TX 75077
Phone (972) 236-7060

1890 N Stonebridge Dr
Ste 320
McKinney, TX 75071
Phone (469) 714-0138

1600 Preston Rd
Plano, TX 75093
Phone (214) 257-8826

Interoperability endpoints

  • Direct secure messaging: minakshi.rajpoot.1@13711.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/13054/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1391817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1851715007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 ROANOKE AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012031",
            "telephone_number": "631-548-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 ROANOKE AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012031",
            "telephone_number": "631-548-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJPOOT",
        "first_name": "MINAKSHI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-08",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F306769-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

Verify at the official NPI Registry.