Individual provider Active NPI

Rajiv R Chokshi, M.D.

  • Internal Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1962513234
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
FLME04679 Issued in FL
Practice address
4701 N Federal Hwy
Suite a-21
Ft Lauderdale, FL 33308-4608
Phone
(954) 771-0611
Fax
(954) 491-3930
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 FLME04679 FL Primary

Addresses

Primary practice location

4701 N Federal Hwy
Suite a-21
Ft Lauderdale, FL 33308-4608

Mailing address

4701 N Federal Hwy
Suite a-21
Ft Lauderdale, FL 33308-4608
Phone (954) 771-0611

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
I20120809000874 FL Practitioner - Internal Medicine 0143476929 Practice locations: Ft. Lauderdale, FL; Plantation, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
FLME04679FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Physicians LLC Internal Medicine Past 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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962513234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 N FEDERAL HWY",
            "address_2": "SUITE A-21",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084608",
            "telephone_number": "954-771-0611",
            "fax_number": "954-491-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 N FEDERAL HWY",
            "address_2": "SUITE A-21",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084608",
            "telephone_number": "954-771-0611",
            "fax_number": "954-491-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOKSHI",
        "first_name": "RAJIV",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "FLME04679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.