NPIMap

Individual provider Active NPI

Rajagopal Holalkere, M.D.

  • Internal Medicine Physician
  • Rego Park, NY
National Provider Identifier
1962451468
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
197220 Issued in NY
Practice address
9229 Queens Blvd
Suite 1D
Rego Park, NY 11374-1056
Phone
(718) 793-1093
Fax
(718) 732-1472
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 197220 NY Primary

Addresses

Primary practice location

9229 Queens Blvd
Suite 1D
Rego Park, NY 11374-1056

Mailing address

9229 Queens Blvd
Suite 1D
Rego Park, NY 11374-1056
Phone (718) 793-1093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20041130000473 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 0143285346 Reassigns benefits to 1 organization
Practice locations: Flushing, NY; Hollis, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11439 Sutphin Blvd
Jamaica, NY 11434-1022
Phone (718) 945-7150

6200 Beach Channel Dr
Arverne, NY 11692-1409

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph P. Addabbo Family Health Center, Inc. CurrentSince Feb 27, 2025 Accepting new patients
Joseph P. Addabbo Family Health Center, Inc. Current Accepting new patients
Joseph P. Addabbo Family Health Center, Inc. CurrentSince Feb 27, 2025 Accepting new patients
Joseph P. Addabbo Family Health Center, Inc. Current Accepting new patients
Joseph P. Addabbo Family Health Center, Inc. Past Accepting new patients
Flushing Hospital & Medical Center Past Accepting new patients
Flushing Hospital & Medical Center Past Accepting new patients
Hollis Park Manor Nursing Home, Inc. Past Accepting new patients
South Island Medical Associates PC Past Accepting new patients
Pension Committee Joint Industry Board Past Accepting new patients

Locations

6200 Beach Channel Dr
Fl 3
Arverne, NY 11692
Phone (929) 995-0733

6200 Beach Channel Dr
Arverne, NY 11692
Phone (718) 945-2400

120 Richards St
Brooklyn, NY 11231
Phone (718) 834-8202

11439 Sutphin Blvd
Jamaica, NY 11434

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: rajagopal.holalkere@jpafhc.eclinicaldirectplus.com

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1962451468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9229 QUEENS BLVD",
            "address_2": "SUITE 1D",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741056",
            "telephone_number": "718-793-1093",
            "fax_number": "718-732-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9229 QUEENS BLVD",
            "address_2": "SUITE 1D",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741056",
            "telephone_number": "718-793-1093",
            "fax_number": "718-732-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLALKERE",
        "first_name": "RAJAGOPAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "197220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.