Raja Kolisetti, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

185959 Issued in NY

Practice address

2 W Main St Unit 333
Batavia, NY 14021-7013

Phone

(585) 703-0101

NPI assigned

Mar 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

State licenses

Practice roles

Locations

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.

• Attica Family Medicine, PLLC

  • Family Medicine Physician
  • Le Roy, NY
  • NPI 1679986681
  Medicare reassignment NPD Authorized official
• Leroy Operating LLC

  • Skilled Nursing Facility
  • Le Roy, NY
  • NPI 1295395184
  NPD (past)

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1861460214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 333",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140210333",
            "telephone_number": "585-703-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W MAIN ST UNIT 333",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140217013",
            "telephone_number": "585-703-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLISETTI",
        "first_name": "RAJA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U4548",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "185959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0160325",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawn Mary Klein, LPN
• Lisa M Klossner, M.S., SLP
• Abigail Knowlton, LMSW
• Alexandra Marie Koegel, MS
• Colette Kogut
• Julie Kosko
• Laurie M Kotowski, PA
• Meghan Rose Krank, GNP
• Michele Mulroy Kraynik, RN
• Megan Elizabeth Krebs, LMSW

• Family Medicine Physician in Batavia, NY
• Providers in Batavia, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.