Individual provider Active NPI

Rajagopalan Rengan, D.O

  • Pulmonary Disease Physician
  • Scranton, PA
National Provider Identifier
1003257130
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
OS018758 Issued in PA
Practice address
1800 Mulberry St
Scranton, PA 18510-2369
Phone
(570) 969-0161
Fax
(570) 969-0163
NPI assigned
Jul 17, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X OS018758 PA Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X OS018758 PA
Internal Medicine Physician 207R00000X OS018758 PA
Sleep Medicine (Internal Medicine) Physician 207RS0012X 25MB09747500 PA

Addresses

Primary practice location

1800 Mulberry St
Scranton, PA 18510-2369

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 969-0161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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
I20171013001300 PA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 7517232747 Reassigns benefits to 5 organizations
I20190621002099 NJ Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 7517232747 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Critical Care Physicians of New Jersey PCGroup PAC ID 5698931699, 14 clinicians
Critical Care Physicians of Pennsylvania PCGroup PAC ID 2466610498, 51 clinicians
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Rwjbh Observation Associates LLCGroup PAC ID 5193137503, 995 clinicians

Practice addresses (Care Compare)

1 Hospital PLZ
Old Bridge, NJ 08857-3012
Phone (732) 630-1000

1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201
Phone (215) 750-2000

1800 Mulberry St
Scranton, PA 18510-2369
Phone (570) 969-7355

530 New Brunswick Ave
Raritan Bay Medical Center
Perth Amboy, NJ 08861-3654
Phone (732) 442-3700

865 Stone St
Rahway, NJ 07065-2742
Phone (732) 381-4200

Hospital & facility affiliations

  • St Mary Medical Center Hospital, Langhorne, PA, CCN 390258
  • Nazareth Hospital Hospital, Philadelphia, PA, CCN 390204
  • Robert Wood Johnson University Hospital at Rahway Hospital, Rahway, NJ, CCN 310024
  • Geisinger-Community Medical Center Hospital, Scranton, PA, CCN 390001
  • Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB09747500PAMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rwjbh Emergency Medicine Associates, LLC Internal Medicine CurrentSince Jul 27, 2025 Accepting new patients
Temple Physicians Inc CurrentSince Feb 1, 2019 Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Jul 1, 2020 Accepting new patients
Geisinger Clinic CurrentSince Dec 15, 2025 Accepting new patients
Geisinger Clinic CurrentSince Dec 15, 2025 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Temple Physician Inc. Internal Medicine CurrentSince Feb 1, 2019 Accepting new patients
Pulmonary Critical Care & Sleep Medicine Assoc PC Pulmonary Disease CurrentSince Sep 6, 2025 Accepting new patients
Critical Care Physicians of Pennsylvania PC Critical Care Medicine CurrentSince Dec 1, 2019 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Jul 1, 2020 Accepting new patients
Temple Physicians Inc Internal Medicine Current Accepting new patients
Critical Care Physicians of New Jersey PC Critical Care Medicine CurrentSince Oct 21, 2024 Accepting new patients
Rwjbh Observation Associates LLC Internal Medicine CurrentSince Jul 27, 2025 Accepting new patients
Hospitalist Physicians of New Jersey PA Internal Medicine CurrentSince Jan 8, 2024 Accepting new patients
Practice Associates Medical Group Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Geisinger Clinic Past Accepting new patients
Sleep Center of Bucks County, Inc. PastSince Sep 6, 2025 Accepting new patients

Locations (25 of 26)

65 James St
Edison, NJ 08820
Phone (732) 321-7010

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 200
Morristown, NJ 07960
Phone (973) 971-7130

530 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 324-5007

865 Stone St
Rahway, NJ 07065
Phone (732) 381-4000

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

549 Fair St
Bloomsburg, PA 17815
Phone (570) 387-2100

1 Medical Center Blvd
Ste 422
Chester, PA 19013
Phone (610) 619-7460

100 N Academy Ave
Danville, PA 17822

1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

445 Shady Ln
Huntingdon Valley, PA 19006
Phone (215) 663-9095

445 Shady Ln
#2
Huntingdon Vy, PA 19006
Phone (215) 663-9095

400 Highland Ave
Lewistown, PA 17044
Phone (717) 242-7473

11 Friends Ln
Ste 104
Newtown, PA 18940
Phone (215) 579-2197

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

7600 Central Ave
Philadelphia, PA 19111
Phone (215) 707-5522

1331 E Wyoming Ave
Philadelphia, PA 19124
Phone (215) 537-7400

1800 Mulberry St
Scranton, PA 18510
Phone (570) 703-7351

559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000

950 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 808-3290

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FAAJBA/Endpoint/FAAJBA

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1003257130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-969-0161",
            "fax_number": "570-969-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MULBERRY ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185102369",
            "telephone_number": "570-969-0161",
            "fax_number": "570-969-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENGAN",
        "first_name": "RAJAGOPALAN",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-17",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "OS018758",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PA",
            "license": "OS018758",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS018758",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "PA",
            "license": "25MB09747500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.