Active NPI
Jagat M Rawal, M.D.
- Internal Medicine Physician
- Elmhurst, NY
National Provider Identifier
1891775680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 219938
- Practice address
- 9204 Corona Ave
Elmhurst, NY 11373-4039 - Phone
- (718) 271-6188
- Fax
- (718) 271-6140
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 219938 | NY | Primary |
Addresses
Primary practice location
9204 Corona Ave
Elmhurst, NY 11373-4039
Mailing address
9204 Corona Ave
Elmhurst, NY 11373-4039
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02131822 | Medicaid | NY |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040428000109 | NY | Practitioner - Internal Medicine | 0345237715 | Practice locations: Elmhurst, NY; Sunnyside, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4307 39TH PL
Suite LC
Sunnyside, NY 11104-4363
Phone (718) 392-3350
9204 Corona Ave
Elmhurst, NY 11373-4039
Phone (718) 271-6188
Hospital & facility affiliations
- Emerest Home Health Care of Long Island
- Long Island Jewish Medical Center
- Dry Harbor Nursing Home
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 80.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 219938 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dry Harbor HRF Inc | Past | Accepting new patients | |
| Lifeco Medical, P.C. | Past | Accepting new patients | |
| Long Island Jewish Medical Center | Past | Accepting new patients | |
| LHHN Medical, P.C. | Internal Medicine | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- j.rawal@1446.mdlanddirect.com
Organizations & group practices 4
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.
-
- Skilled Nursing Facility
- Middle Village, NY
- NPI 1467433664
-
- Emergency Medicine Physician
- Forest Hills, NY
- NPI 1922031905
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
-
- Home Health Agency
- Flushing, NY
- NPI 1235529538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480636800000",
"number": "1891775680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9204 CORONA AVE",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9204 CORONA AVE",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734039",
"telephone_number": "718-271-6188",
"fax_number": "718-271-6140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAWAL",
"first_name": "JAGAT",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2016-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "219938",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02131822",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.