Dheeraj Taranath, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS012644 Issued in PA

Practice address

16490 W 78TH St
Eden Prairie, MN 55346-4300

Phone

(952) 934-5332

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Berks Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Reading, PA
  • NPI 1407808678
  NPD (past)
• Medexpress Urgent Care, PC - Monaca

  • Urgent Care Clinic/Center
  • Monaca, PA
  • NPI 1801040092
  NPD (past)
• Medexpress Urgent Care, PC - Pennsylvania

  dba MedExpress Urgent Care - Brookhaven, Edgmont Ave

  • Urgent Care Clinic/Center
  • Brookhaven, PA
  • NPI 1437681335
  NPD (past)
• Premier Immediate Medical Care, LLC

  • Urgent Care Clinic/Center
  • Exton, PA
  • NPI 1821040890
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513296000000",
    "number": "1881646248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 N 5TH STREET HWY",
            "city": "READING",
            "state": "PA",
            "postal_code": "196052428",
            "telephone_number": "610-939-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16490 W 78TH ST",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553464300",
            "telephone_number": "952-934-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARANATH",
        "first_name": "DHEERAJ",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2017-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB08627700",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C2-0010487",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS012644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101465500001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lubna Takwa, RPH
• Talk Therapy
• Talk Therapy, LTD.
• Boe Michael Tankersley, D.C.
• Amy Tannahill
• Barbara Elaine Taylor, M.D.
• Margaret Ann Taylor, CNP
• Marissa Lorraine Taylor, AU.D.
• Nelya S Taylor, RN
• Sandra Hammond Taylor, MA LP

• Family Medicine Physician in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.