Individual provider Active NPI

Raj Machhar, MD

  • Internal Medicine Physician
  • Seffner, FL
National Provider Identifier
1972948701
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME139320 Issued in FL
Practice address
11200 E Dr MLK Jr Blvd, #107
Seffner, FL 33584-3358
Phone
(813) 443-3399
Fax
(813) 381-3478
NPI assigned
May 7, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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 283553 NY
Internal Medicine Physician 207R00000X ME139320 FL Primary

Addresses

Primary practice location

11200 E Dr MLK Jr Blvd, #107
Seffner, FL 33584-3358

Mailing address

11200 E Dr Martin Luther King Jr Blvd
Ste 107
Seffner, FL 33584-8351
Phone (813) 443-3399

Other practice location 1

6811 State Road 54
New Port Richey, FL 34653-6018
Phone (727) 815-1550

Other practice location 2

550 1st Ave
New York, NY 10016-6402
Phone (212) 263-3293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 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
I20160630000530 NY Practitioner - Internal MedicinePractitioner - Hospitalist 7214229855 Reassigns benefits to 1 organization
I20211214000680 FL Practitioner - Internal Medicine 7214229855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Florida College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greenbrook Medical Practice, PLLCGroup PAC ID 5092105627, 3 clinicians

Practice addresses (Care Compare)

10453 Stelling Dr
Riverview, FL 33578-7594
Phone (813) 709-7771

427 S Parsons Ave
Suite 120
Brandon, FL 33511-5252
Phone (813) 443-3399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
New York University Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Greenbrook Medical Practice, PLLC Internal Medicine CurrentSince Nov 29, 2021 Accepting new patients

Locations

13806 Little Rd
Hudson, FL 34667
Phone (727) 857-4753

6811 State Road 54
New Prt Rchy, FL 34653
Phone (727) 815-1550

10453 Stelling Dr
Riverview, FL 33578
Phone (813) 709-7771

11200 E Dr Martin Luther King Jr Blvd
Ste 107
Seffner, FL 33584
Phone (813) 443-3399

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 3

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": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1972948701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 E DR MARTIN LUTHER KING JR BLVD",
            "address_2": "STE 107",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335848351",
            "telephone_number": "813-443-3399",
            "fax_number": "813-381-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 E DR MLK JR BLVD, #107",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335843358",
            "telephone_number": "813-443-3399",
            "fax_number": "813-381-3478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6811 State Road 54",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346536018",
            "country_code": "US",
            "telephone_number": "727-815-1550",
            "fax_number": "727-815-0667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 1st Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166402",
            "country_code": "US",
            "telephone_number": "212-263-3293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACHHAR",
        "first_name": "RAJ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-07",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "283553",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME139320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seffner, FL

Sources for this page

Verify at the official NPI Registry.