Rajneesh Nath
Internal Medicine (Hematology & Oncology)

Address: 55 Lake Ave N, Worcester, MA 01655-0002
Phone: 7744423903

Rajneesh Nath (NPI# 1912968728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1912968728
Entity Type Individual
Full Name Rajneesh Nath
Credential MD
Gender Male
Practice Address 55 Lake Ave N
Worcester
MA 01655-0002
Practice Telephone 7744423903
Practice Fax Number 7744437890
Mailing Address 55 Lake Ave N
Worcester
MA 01655-0002
Mailing Telephone 7744423903
Mailing Fax Number 7744437890
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-03-31
Last Update Date 2011-10-28

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207RH0003X Internal Medicine · Hematology & Oncology Allopathic & Osteopathic Physicians 237787 MA

Other Provider Identifier

State Identifier Issuer Type Code
MA RN 72782 OTHER MEDICARE RI
MA 1912968728 OTHER MEDICARE CT
MA 1912968728 OTHER BLUE CROSS BLUE SHIELD
MA 1912968728 OTHER FALLON
MA PVN 1935556 OTHER AETNA US HEALTHCARE
MA 000765501 OTHER MEDICARE PART B
MA 1015504 OTHER MEDICARE VT
MA 1912968728 OTHER TUFTS
MA 2160536 MEDICAID

Physician Overview

NPI 1912968728
PAC ID by PECOS 6608800560
Professional Enrollment ID I20160921002385
Full Name Rajneesh Nath
Organization Legal Name BANNER CANCER CENTER SPECIALISTS LLC
Phone Number 4805432000
Gender M
Credential MD
Graduation Year 1987
Primary Specialty HEMATOLOGY/ONCOLOGY
Group Practice PAC ID 6103097779
Number of Group Practice Members 184
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
030122 BANNER GATEWAY MEDICAL CENTER

Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821071077 Vijay K Kasturi Internal Medicine 33 Kendall Street, Umass Memorial Campus, Worcester, MA 01605 2005-11-22
1700873783 Ahmad Daniyal Siddiqui Internal Medicine 1 Eaton Pl, Worcester, MA 01608-1232 2005-10-04
1962854463 Vishal Jindal Internal Medicine 123 Summer St, Worcester, MA 01608-1216 2016-07-07
1669815874 Shyam A Patel Internal Medicine 55 Lake Ave N, Worcester, MA 01655-0002 2013-04-08
1831454149 Mohammed Salhab Internal Medicine 55 Lake Ave N, Worcester, MA 01655-0002 2012-07-12
1629339924 Shrinkhala Khanna Internal Medicine 55 Lake Ave N, Worcester, MA 01655 2012-06-04
1063706331 Robert Edward Gaudet Jr. Internal Medicine 55 Lake Ave N, Worcester, MA 01655-0002 2011-06-04
1366753618 Austin Kim Internal Medicine 55 Lake Ave N, Worcester, MA 01655-0002 2010-07-01
1568669646 Nahida Islam Internal Medicine 55 Lake Ave N, Hematology/oncology, Worcester, MA 01655-0002 2007-07-02
1578658563 Venu Gopal Bathini Internal Medicine 55 Lake Ave N, Dept of Hem/onc, Worcester, MA 01655-0002 2006-10-04
Find all providers in WORCESTER

Office Location

Street Address 55 LAKE AVE N
City WORCESTER
State MA
Zip Code 01655-0002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437613403 Alexandra E. Kashmanian Registered Nurse 55 Lake Ave N, Worcester, MA 01655-0002 2019-01-24
1801438551 Deanna Marie Nole Dietitian, Registered 55 Lake Ave N, Worcester, MA 01655-0002 2019-10-15
1669021630 Kristen Ann Buddenhagen Nurse Practitioner 55 Lake Ave N, Worcester, MA 01655-0002 2019-09-11
1083262380 Kaylie E Gage Physician Assistant 55 Lake Ave N, Worcester, MA 01655-0002 2019-08-29
1871141697 Yosstina Saadallah Social Worker 55 Lake Ave N, Worcester, MA 01655-0002 2019-08-27
1275188534 Erin Meagher Nurse Practitioner 55 Lake Ave N, Worcester, MA 01655-0002 2019-08-05
1437702735 Lindsey J. Harris Registered Nurse 55 Lake Ave N, Worcester, MA 01655-0002 2019-07-17
1083276356 Jose Yarzebski Dietitian, Registered 55 Lake Ave N, Worcester, MA 01655-0002 2019-07-08
1710549027 Kelsey Lancey Dietitian, Registered 55 Lake Ave N, Worcester, MA 01655-0002 2019-07-08
1164084612 Paul Foster Dietitian, Registered 55 Lake Ave N, Worcester, MA 01655-0002 2019-07-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386285831 Alyssa Richard-figueroa Social Worker 55 Lake Avenue North, Emergency Mental Health Service, Worcester, MA 01655 2019-10-07
1205489713 Darryl Sweeper Jr. Student in an Organized Health Care Education/Training Program 55 Lake Avenue North, Psychiatry, Umass Memorial Medical Center, Worcester, MA 01655 2019-07-23
1225690530 Ryan Zenevitch Student in an Organized Health Care Education/Training Program 55 Lake Avenue North, Family Medicine, Umass Memorial Medical Center, Worcester, MA 01655 2019-07-08
1639735566 Zakir Igbalbhai Shaikh Student in an Organized Health Care Education/Training Program 55 N Lake Ave, Worcester, MA 01655 2019-05-16
1932688454 Victoria Sayeg Student in an Organized Health Care Education/Training Program 55 Lake Avenue North, Pediatrics, Worcester, MA 01655 2018-08-07
1114425675 Judith Dio Wentzell Social Worker Umassmemorial Medical Center, 55 Lake Ave North, Dept of Care Coordination, Worcester, MA 01655 2018-01-30
1861927386 Muhammad Waqas Khan Student in an Organized Health Care Education/Training Program University of Massachusetts 55 North Lake Ave, Neurology, Worcester, MA 01655 2017-04-21
1861806192 Qaiser Shamshir Khan Psychiatry & Neurology 55 Lake Ave N # S7-831, Worcester, MA 01655 2014-06-14
1538588322 Sonali Harchandani Student in an Organized Health Care Education/Training Program 55 Lake Avenue North, Worcester, MA 01655 2014-04-09
1073858981 Heidi Glover Nurse Practitioner 55 Lake Ave North Dept. of Pedi-adolescent, Ummc University Campus, Worcester, MA 01655 2012-12-04
Find all providers in zip 01655

Competitor

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City WORCESTER
Zip Code 01655

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Dataset Information

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.

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