NPIMap

Individual provider Active NPI

Sarvesh Rajan, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Du Bois, PA
National Provider Identifier
1912915554
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD434473 Issued in PA
Practice address
145 Hospital Ave
Suite 300
Du Bois, PA 15801-1462
Phone
(814) 375-4089
Fax
(814) 375-4067
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD30934 DC
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD434473 PA Primary

Addresses

Primary practice location

145 Hospital Ave
Suite 300
Du Bois, PA 15801-1462

Mailing address

PO Box 447
Du Bois, PA 15801-0447
Phone (814) 375-4089

Other identifiers 1

IdentifierTypeStateIssuer
102208979MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081113000624 PA Practitioner - Endocrinology 7517925647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians

Practice addresses (Care Compare)

145 Hospital Ave
Suite 101
Du Bois, PA 15801-1463
Phone (814) 375-4089

Hospital & facility affiliations

  • Penn Highlands Dubois Hospital, Dubois, PA, CCN 390086
  • Penn Highlands Elk Hospital, Saint Marys, PA, CCN 391315
  • Penn Highlands Brookville Hospital, Brookville, PA, CCN 391312
  • Upmc Kane Hospital, Kane, PA, CCN 391318
  • Punxsutawney Area Hospital Hospital, Punxsutawney, PA, CCN 390199

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD30934DCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dubois Regional Medical Center Endocrinology, Diabetes & Metabolism CurrentSince Aug 25, 2008 Accepting new patients
Dubois Regional Medical Center CurrentSince Aug 25, 2008 Accepting new patients
Dubois Regional Medical Group, PC Past Accepting new patients
Matrix House Physicians PA Internal Medicine Past Accepting new patients
Dubois Regional Medical Center Past Accepting new patients

Locations

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

145 Hospital Ave
Ste 102
Dubois, PA 15801
Phone (814) 375-6510

145 Hospital Ave
Ste 101
Dubois, PA 15801
Phone (814) 375-5305

145 Hospital Ave
Ste 300
Dubois, PA 15801
Phone (814) 371-4524

Interoperability endpoints

  • Direct secure messaging: srajan@1285.direct.myezyaccess.com

Organizations & group practices 5

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.

Hospital & facility affiliations 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1912915554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 447",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158010447",
            "telephone_number": "814-375-4089",
            "fax_number": "814-375-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 HOSPITAL AVE",
            "address_2": "SUITE 300",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011462",
            "telephone_number": "814-375-4089",
            "fax_number": "814-375-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJAN",
        "first_name": "SARVESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD30934",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD434473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102208979",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.