Individual provider Active NPI

Rajesh Shroff, M.D.

  • Specialist
  • Hot Springs, AR
National Provider Identifier
1912905092
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
R3441 Issued in AR
Practice address
1 Mercy LN
Ste 305
Hot Springs, AR 71913-6442
Phone
(501) 624-0009
Fax
(501) 624-2013
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X R3441 AR Primary

Addresses

Primary practice location

1 Mercy LN
Ste 305
Hot Springs, AR 71913-6442

Mailing address

1 Mercy LN
Ste 305
Hot Springs, AR 71913-6442
Phone (501) 624-0009

Other identifiers 1

IdentifierTypeStateIssuer
102488001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20100805001066 AR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5294868501 Practice locations: Hot Springs, AR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R3441ARMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Rajesh K. Shroff Specialist PastSince Aug 24, 1992 Accepting new patients

Organizations & group practices 1

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1912905092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MERCY LN",
            "address_2": "STE 305",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136442",
            "telephone_number": "501-624-0009",
            "fax_number": "501-624-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MERCY LN",
            "address_2": "STE 305",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136442",
            "telephone_number": "501-624-0009",
            "fax_number": "501-624-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHROFF",
        "first_name": "RAJESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "R3441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102488001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.