NPIMap

Individual provider Active NPI

Rajeev Rajendra, M.D.

  • Hematology & Oncology Physician
  • Moscow, ID
National Provider Identifier
1992902803
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD60150925 Issued in WA
Practice address
803 S Main St Ste 210
Moscow, ID 83843-2695
Phone
(208) 882-1778
NPI assigned
Jul 3, 2007
Last updated
Aug 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD60150925 WA Primary
Hematology & Oncology Physician 207RH0003X M-12401 ID

Addresses

Primary practice location

803 S Main St Ste 210
Moscow, ID 83843-2695

Mailing address

PO Box 421
Liberty Lake, WA 99019-0421
Phone (866) 747-2455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID, MT3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20111207000083 WA Practitioner - Medical OncologyPractitioner - General PracticePractitioner - Family PracticePractitioner - Internal MedicinePractitioner - Hematology 2668647405 Reassigns benefits to 2 organizations
I20151013000191 ID Practitioner - Internal Medicine 2668647405 Reassigns benefits to 2 organizations
I20210915004076 MT Practitioner - Medical Oncology 2668647405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Palouse Specialty Physicians PSGroup PAC ID 0345569166, 11 clinicians

Practice addresses (Care Compare)

700 S Main
Moscow, ID 83843-3056

700 S Main St
Moscow, ID 83843-3056
Phone (208) 882-4511

835 SE Bishop Blvd
Pullman, WA 99163-5512
Phone (509) 330-5607

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-12401IDMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cow Creek Band of Umpqua Tribe of Indians CurrentSince Jun 1, 2022 Accepting new patients
Palouse Specialty Physicians, P.S. CurrentSince Jul 7, 2023 Accepting new patients
Clearview Eye Clinic LTD Current Accepting new patients
Northern Montana Hospital Current Accepting new patients
Northern Montana Hospital CurrentSince Jun 10, 2021 Accepting new patients
Northern Montana Hospital CurrentSince Jun 10, 2021 Accepting new patients
Palouse Specialty Physicians, P.S. CurrentSince Aug 14, 2023 Accepting new patients
Palouse Specialty Physicians, P.S. Hematology & Oncology CurrentSince Jul 7, 2023 Accepting new patients
Michael Kos MD PS Past Accepting new patients

Locations

111 N Washington St
Ste 8
Moscow, ID 83843
Phone (603) 915-6135

700 S Main St
Moscow, ID 83843
Phone (208) 746-7555

803 S Main St
Ste 210
Moscow, ID 83843
Phone (208) 882-1778

30 13th St
Havre, MT 59501
Phone (406) 262-1302

825 SE Bishop Blvd
Ste 601
Pullman, WA 99163
Phone (509) 334-5876

835 SE Bishop Blvd
Pullman, WA 99163
Phone (509) 332-2541

Interoperability endpoints

  • Direct secure messaging: rrajendra710525@direct.ochin.org

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 8

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1992902803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990190421",
            "telephone_number": "866-747-2455",
            "fax_number": "509-227-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 S MAIN ST STE 210",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432695",
            "telephone_number": "208-882-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJENDRA",
        "first_name": "RAJEEV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WA",
            "license": "MD60150925",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "ID",
            "license": "M-12401",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moscow, ID

Sources for this page

Verify at the official NPI Registry.