Individual provider Active NPI

Rahul Vohra, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Flowood, MS
National Provider Identifier
1902991219
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
13616 Issued in MS
Practice address
2470 Flowood Drive
Flowood, MS 39232
Phone
(877) 554-4257
Fax
(601) 983-2845
NPI assigned
Oct 3, 2006
Last updated
Oct 7, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 13616 MS Primary

Addresses

Primary practice location

2470 Flowood Drive
Flowood, MS 39232

Mailing address

2470 Flowood Drive
Flowood, MS 39232
Phone (877) 554-4257

Other identifiers 2

IdentifierTypeStateIssuer
250012616OtherMSMEDICARE RAILROAD
0112104MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20080609000115 MS Practitioner - Physical Medicine and Rehabilitation 0244120962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Baylor College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newsouth Neurospine, LLCGroup PAC ID 2163591579, 22 clinicians

Practice addresses (Care Compare)

2470 Flowood Dr
Flowood, MS 39232-9019
Phone (601) 983-2859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Newsouth Neurospine, LLC. CurrentSince Apr 1, 2008 Accepting new patients
Newsouth Neurospine, LLC Current Accepting new patients
Southern Physical Medicine and Rehabilitation Associates, PLLC Physical Medicine & Rehabilitation PastSince Jun 27, 2001 Accepting new patients

Locations

2470 Flowood Dr
Jackson, MS 39232
Phone (601) 291-1407

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254873600000",
    "number": "1902991219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 FLOWOOD DRIVE",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "39232",
            "telephone_number": "877-554-4257",
            "fax_number": "601-983-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 FLOWOOD DRIVE",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "39232",
            "telephone_number": "877-554-4257",
            "fax_number": "601-983-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOHRA",
        "first_name": "RAHUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MS",
            "license": "13616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "250012616",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112104",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.