Individual provider Active NPI

Rakesh Jaitly, MD

  • Neurology Physician
  • Dover, DE
National Provider Identifier
1962471441
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
C1-0026606 Issued in DE
Practice address
665 Bay Road, Unit B
Dover, DE 19901
Phone
(302) 744-6592
Fax
(302) 735-3240
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 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 C1-0026606 DE Primary
Neurology Physician 2084N0400X MD20979 DC

Addresses

Primary practice location

665 Bay Road, Unit B
Dover, DE 19901

Mailing address

640 S. State St
Mail Code 3055
Dover, DE 19901-3530
Phone (302) 744-6592

Other practice location 1

5454 Wisconsin Ave
Suite 1100
Chevy Chase, MD 20815-6901
Phone (301) 215-9420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081010000269 DC Practitioner - Neurology 6709954274 Reassigns benefits to 1 organization
I20240316000407 DE Practitioner - Neurology 6709954274 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayhealth Medical Center, IncGroup PAC ID 1658364740, shared by 16 NPIs, 399 clinicians

Practice addresses (Care Compare)

101 Wellness Way
Suite 250
Milford, DE 19963-4394
Phone (302) 744-7980

640 S State St
Dover, DE 19901-3530
Phone (302) 744-7408

665 Bay Rd Unit B
Bayhealth Neurology
Dover, DE 19901
Phone (302) 744-6592

Hospital & facility affiliations

  • Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004
  • Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD20979DCMDNeurology Physician
C1-0026606DEMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc Current Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Feb 4, 2024 Accepting new patients
Bayhealth Medical Center, Inc. Current Accepting new patients
Medstar Medical Group II LLC CurrentSince Jul 1, 2013 Accepting new patients
MGMC, LLC CurrentSince Jul 1, 2013 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Sep 26, 2024 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Feb 4, 2024 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Feb 4, 2024 Accepting new patients
Washington Hospital Center Corp Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

200 Banning St
Ste 150
Dover, DE 19904
Phone (302) 735-8855

665 S Bay Rd
Unit B
Dover, DE 19901
Phone (302) 608-5312

640 S State St
#3055
Dover, DE 19901
Phone (302) 480-1688

640 S State St
Dover, DE 19901
Phone (302) 744-4700

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

101 Wellness Way
Ste 250
Milford, DE 19963
Phone (302) 744-6220

18383 Hudson Rd
Fl 2
Milton, DE 19968
Phone (302) 725-3499

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 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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1962471441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S. STATE ST",
            "address_2": "MAIL CODE 3055",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-744-6592",
            "fax_number": "302-735-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 BAY ROAD, UNIT B",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "19901",
            "telephone_number": "302-744-6592",
            "fax_number": "302-735-3240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5454 Wisconsin Ave",
            "address_2": "Suite 1100",
            "address_purpose": "LOCATION",
            "city": "Chevy Chase",
            "state": "MD",
            "postal_code": "208156901",
            "country_code": "US",
            "telephone_number": "301-215-9420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAITLY",
        "first_name": "RAKESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2024-10-02",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "DE",
            "license": "C1-0026606",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "DC",
            "license": "MD20979",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.