Individual provider Active NPI

Sharath Rajagopalan, MD

  • Internal Medicine Physician
  • Morgantown, WV
National Provider Identifier
1093204521
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
30617 Issued in WV
Practice address
64 Medical Center Dr
Morgantown, WV 26505-3409
Phone
(304) 293-0709
NPI assigned
May 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 30617 WV Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

64 Medical Center Dr
Morgantown, WV 26505-3409

Mailing address

64 Medical Center Dr
Morgantown, WV 26505-3409
Phone (304) 293-0709

Other practice location 1

The Wright Center for Graduate Medical Education
111 North Washington Avenue
Scranton, PA 18503
Phone (570) 343-2383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210723001094 WV Practitioner - Internal Medicine 4981958469 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 293-4500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation Internal Medicine CurrentSince Jul 5, 2021 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jul 5, 2021 Accepting new patients
Alignmed Partners, PC CurrentSince Jun 19, 2021 Accepting new patients
Geps Physician Group of West Virginia PC CurrentSince Jun 19, 2021 Accepting new patients
West Virginia University Hospitals, Inc Past Accepting new patients

Locations

1 Diane Dr
Fort Ashby, WV 26719
Phone (304) 298-3602

101 13th St
Huntington, WV 25701
Phone (304) 525-7622

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Interoperability endpoints

  • Direct secure messaging: srajagopalan269602@direct.wvuhsdirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1093204521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 MEDICAL CENTER DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053409",
            "telephone_number": "304-293-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 MEDICAL CENTER DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053409",
            "telephone_number": "304-293-0709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "The Wright Center for Graduate Medical Education",
            "address_2": "111 North Washington Avenue",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "18503",
            "country_code": "US",
            "telephone_number": "570-343-2383",
            "fax_number": "570-343-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJAGOPALAN",
        "first_name": "SHARATH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-10",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "30617",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.