Rajagopal R Rangineni, MD

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

R3D52 Issued in MO

Practice address

902 N Riverside Rd
Ste 200
St Joseph, MO 64507-2559

Phone

(816) 271-1301

Fax

(816) 271-1302

NPI assigned

Mar 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• St. Joseph Oncology, Inc.

  • Hematology & Oncology Physician
  • Atchison, KS
  • NPI 1891904702
  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508976000000",
    "number": "1073581864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 N RIVERSIDE RD",
            "address_2": "STE 200",
            "city": "ST JOSEPH",
            "state": "MO",
            "postal_code": "645072559",
            "telephone_number": "816-271-1301",
            "fax_number": "816-271-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 N RIVERSIDE RD",
            "address_2": "STE 200",
            "city": "ST JOSEPH",
            "state": "MO",
            "postal_code": "645072559",
            "telephone_number": "816-271-1301",
            "fax_number": "816-271-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANGINENI",
        "first_name": "RAJAGOPAL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2017-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "KS",
            "license": "0423186",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MO",
            "license": "R3D52",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KS FOR MO LOCATIO",
            "identifier": "076129",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS MEDICAID",
            "identifier": "100202480A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "10102028",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073581864",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00859666",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KS FOR KS LOCATIO",
            "identifier": "056938",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jodi Ramold, LCSW
• Ricardo A Ramos, MD
• Bethany Randles, DNP
• Randolph Medical Plus LLC
• Randy S. Buckles, DO, Family Health Care, LLC
• Stephanie R. Ray, LCSW
• Adam Joseph Reardon, DPT
• Candace Eileeen Redel, FNP
• James Connor Redmon, DPT
• Redneb Inc

• Medical Oncology Physician in St Joseph, MO
• Providers in St Joseph, MO by specialty
• Medical Oncology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.