Individual provider Active NPI

Jaivir Singh Rathore, MD, FAES

  • Epilepsy Physician
  • Orlando, FL
National Provider Identifier
1932355971
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Epilepsy PhysicianTaxonomy code 2084E0001X
License
ME142506 Issued in FL
Practice address
6000 Metrowest Blvd Ste 104-105
Orlando, FL 32835-7629
Phone
(407) 365-3033
Fax
(407) 365-3034
NPI assigned
Aug 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME142506 FL
Epilepsy Physician 2084E0001X ME142506 FL Primary

Addresses

Primary practice location

6000 Metrowest Blvd Ste 104-105
Orlando, FL 32835-7629

Mailing address

6000 Metrowest Blvd Ste 104-105
Orlando, FL 32835-7629
Phone (407) 365-3033

Other identifiers 1

IdentifierTypeStateIssuer
104167800MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address docjrathore@fsneuro.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20191016000955 FL Practitioner - Neurology 6507176831 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

11962 County Rd
The Villages, FL 32162-9336
Phone (352) 693-3378

6000 Metrowest Blvd
Suite 104
Orlando, FL 32835-7630
Phone (407) 365-3033

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME142506FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tricounty Health LLC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Falcon Medical Group Inc Epilepsy CurrentSince Jan 2, 2022 Accepting new patients

Locations

753 Highway 466
Lady Lake, FL 32159
Phone (321) 248-2666

6000 Metrowest Blvd
Ste 1
Orlando, FL 32835
Phone (407) 365-3033

6000 Metrowest Blvd
Ste 104105
Orlando, FL 32835
Phone (407) 365-3033

6000 Metrowest Blvd
Ste 104
Orlando, FL 32835
Phone (407) 365-3033

120 Alexandria Blvd
Ste 19
Oviedo, FL 32765
Phone (407) 365-3033

4056 E State Road 44
Wildwood, FL 34785
Phone (321) 248-2666

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDJGBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/BCCADD/Endpoint/BCCADD

Organizations & group practices 2

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1932355971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 METROWEST BLVD STE 104-105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328357629",
            "telephone_number": "407-365-3033",
            "fax_number": "407-365-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 METROWEST BLVD STE 104-105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328357629",
            "telephone_number": "407-365-3033",
            "fax_number": "407-365-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATHORE",
        "first_name": "JAIVIR",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "MD, FAES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-11",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME142506",
            "primary": false
        },
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "FL",
            "license": "ME142506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104167800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "docjrathore@fsneuro.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "6000 Metrowest Blvd Ste 104-105",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328357629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.