Rajender Kumar Gattu, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Pikesville, Maryland. His current practice location is
1419 Reisterstown Rd, Pikesville, Maryland. You can reach out to his office (for appointments etc.) via phone at
(240) 376-1616.
Rajender Kumar Gattu is licensed to practice in Maryland (license number D66275) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417995143.
Physician's Profile
| Full Name | Rajender Kumar Gattu |
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| Gender | Male |
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| Speciality | Pediatrics - Pediatric Emergency Medicine |
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| Location | 1419 Reisterstown Rd, Pikesville, Maryland |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417995143
- Provider Enumeration Date: 06/03/2006
- Last Update Date: 09/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 5890767479
- Enrollment ID: I20071010000856
Medical Identifiers
Medical identifiers for Rajender Kumar Gattu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1417995143 | NPI | - | NPPES |
| 412657200 | Medicaid | MD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 4301073223 (Michigan) | Secondary |
| 2080P0204X | Pediatrics - Pediatric Emergency Medicine | D66275 (Maryland) | Primary |
| 208000000X | Pediatrics | D66275 (Maryland) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Rajender Kumar Gattu allows following entities to bill medicare on his behalf.
| Entity Name | Xpress Pediatrics, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164070181 PECOS PAC ID: 6507289733 Enrollment ID: O20210924001841 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rajender Kumar Gattu is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Rajender Kumar Gattu, MD 1419 Reisterstown Rd, Pikesville, MD 21208-3808 Ph: (240) 376-1616 | Rajender Kumar Gattu, MD 1419 Reisterstown Rd, Pikesville, MD 21208-3808 Ph: (240) 376-1616 |
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