RAKESH KHATRI (NPI# 1437360732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437360732 |
| Entity Type | Individual |
| Full Name | RAKESH KHATRI |
| Credential | MD |
| Practice Address |
7910 W Jefferson Blvd Ste 120 Fort Wayne IN 46804-4159 |
| Mailing Address |
6920 Pointe Inverness Way Ste 200 Fort Wayne IN 46804-7934 |
| Practice Telephone | 2604357612 |
| Practice Fax Number | 2604794618 |
| Mailing Telephone | 2604793514 |
| Mailing Fax Number | 2604793520 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | R0043 | TX | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
R0043 | TX | Allopathic & Osteopathic Physicians |
| N | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
R0043 | TX | Allopathic & Osteopathic Physicians |
| N | 2084D0003X |
Psychiatry & Neurology Specialization: Diagnostic Neuroimaging |
R0043 | TX | Allopathic & Osteopathic Physicians |
| N | 2084A2900X |
Psychiatry & Neurology Specialization: Neurocritical Care |
R0043 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201014070 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4800 Alberta Ave, El Paso, TX 799052709 | 2604603100 | |
| 4801 Alberta Ave, El Paso, TX 79905 | 9152155900 | 9152158615 |
| Street Address |
7910 W JEFFERSON BLVD STE 120 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-4159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932199627 | J. Rod Gimbel | Internal Medicine | 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804-4159 | 2005-10-25 |
| 1467070425 | Danica A. Marana | Registered Nurse | 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804-4159 | 2020-07-07 |
| 1306498241 | Kelsey A. Richard | Nurse Practitioner | 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804-4159 | 2019-07-11 |
| 1003314246 | Stephanie Ann Clouse | Nurse Practitioner | 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804-4159 | 2018-01-23 |
| 1831631837 | Sara M. Westfall | Physician Assistant | 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804-4159 | 2016-11-08 |
| 1871977165 | Joyce E. Vivian | Nurse Practitioner | 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804-4159 | 2015-07-16 |
| 1245664184 | Tyler Lyle Warnecke | Physician Assistant | 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804-4159 | 2013-08-28 |
| 1144573890 | Laura E. Thomas | Nurse Practitioner | 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804-4159 | 2012-10-18 |
| 1922285139 | Asim A. Mohammed | Internal Medicine | 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804-4159 | 2008-01-30 |
| 1366472755 | Amit N Sanghvi | Radiology | 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804-4159 | 2006-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326411158 | Stephen B Schroeder | Neurological Surgery | 2318 Turnberry Lane, Fort Wayne, IN 46804 | 2015-11-02 |
| 1003062332 | Fort Wayne Care Inc | Neurological Surgery | 347 W Berry St, Suite 216, Fort Wayne, IN 46802-2299 | 2008-08-18 |
| 1952308413 | Isa S. Canavati | Neurological Surgery | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2005-06-30 |
| 1104823590 | Rudy A. Kachmann | Neurological Surgery | 7900 W Jefferson Blvd Ste 201, Fort Wayne, IN 46804-4128 | 2005-06-30 |
| 1225321664 | Stephanie Reed Falatko | Neurological Surgery | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845 | 2011-05-18 |
| 1700043023 | Jason M Voorhies | Neurological Surgery | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 | 2008-05-22 |
| 1124297379 | Allied Physicians Inc | Neurological Surgery | 2622 Lake Ave, Fort Wayne, IN 46805-5410 | 2008-02-21 |
| 1861603466 | Shahnawaz H. Qureshi | Neurological Surgery | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2007-05-24 |
| 1811105364 | Guangbin Xia | Neurological Surgery | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 | 2007-05-18 |
| 1053302968 | Allied Physicians Inc., D/b/a Fort Wayne Neurosurgery | Neurological Surgery | 7910 W Jefferson Blvd, Suite 200, Fort Wayne, IN 46804-4159 | 2005-10-31 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.