Active NPI
Rangarajan Purushothaman
- Diagnostic Radiology Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- E-17197
- Practice address
- 4301 W Markham St # 556
Little Rock, AR 72205-7101 - Phone
- (501) 686-8000
- Fax
- (501) 526-5148
- NPI assigned
- Jun 17, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | E-17197 | AR | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 74045 | TN |
Addresses
Primary practice location
4301 W Markham St # 556
Little Rock, AR 72205-7101
Mailing address
4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000
Other practice location 1
410 N State Of Franklin Rd Ste 135B
Johnson City, TN 37604-6972
Phone (423) 431-4866
Other practice location 2
550 University Blvd Rm 663
Indianapolis, IN 46202-5149
Phone (317) 274-1866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, TN, TX, VA, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-2200
105 Fairlea CT
Lynchburg, VA 24503-2164
Phone (423) 968-1144
1100 E Poplar St
Clarksville, AR 72830-4419
Phone (479) 452-9416
130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 244-6800
1710 Harrison St
Batesville, AR 72501-7303
Phone (870) 262-1200
3301 W Main PL
Russellville, AR 72801-2334
Phone (479) 968-7930
333 N Texas Ave
Suite 1000
Webster, TX 77598-4962
Phone (479) 452-9416
410 N State of Franklin Rd
Suite 135B
Johnson City, TN 37604-6972
Phone (423) 431-4866
710 S 13TH St
Blackwell, OK 74631-3700
Phone (479) 452-9416
Hospital & facility affiliations
- White County Medical Center
- Johnson City Medical Center
- Stillwater Medical Center
- Baxter Health
- White River Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Arkansas Radiology | Diagnostic Radiology | Current | Accepting new patients |
| Clear View Radiology, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Radiology, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Radiologists of Russellville PA | Diagnostic Radiology | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Angelina Diagnostic Radiology Associates | Diagnostic Radiology | Current | Accepting new patients |
| Citizens Medical Center County of Victoria | Past | Accepting new patients |
Locations
1490 Byers St
Batesville, AR 72501
Phone (870) 793-2207
1710 Harrison St
Batesville, AR 72501
Phone (870) 262-1240
1100 E Poplar St
Clarksville, AR 72830
Phone (479) 754-5393
5707 Jenny Lind Rd
Fort Smith, AR 72908
Phone 4794529416101
1400 Braden St
Little Rock AFB, AR 72076
Phone (501) 380-3172
2106 E Main St
Mountain View, AR 72560
Phone (870) 262-5056
1808 W Main St
Russellville, AR 72801
Phone (479) 964-4178
3301 W Main Pl
Russellville, AR 72801
Phone (855) 498-6768
710 S 13th St
Blackwell, OK 74631
Phone (580) 363-2311
3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815
501 N 14th St
Perry, OK 73077
Phone (580) 336-3541
1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480
1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800
1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451
4289 Bonny Oaks Dr
Ste 106
Chattanooga, TN 37406
1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380
410 N State of Franklin Rd
Ste 135B
Johnson City, TN 37604
Phone (423) 431-2477
1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
1717 Highway 59 Loop N
Livingston, TX 77352
Phone (936) 329-8500
1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111
2306 W Frank Ave
Ste C
Lufkin, TX 75904
Phone (936) 632-6700
511 E Hospital St
San Augustine, TX 75972
Phone (936) 275-3446
333 N Texas Ave
Ste 1000
Webster, TX 77598
Phone (281) 557-5620
Organizations & group practices 9
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.
-
- Diagnostic Radiology Physician
- Batesville, AR
- NPI 1598791261
-
- Diagnostic Radiology Physician
- Russellville, AR
- NPI 1699744326
-
- Diagnostic Radiology Physician
- Lufkin, TX
- NPI 1033175302
-
- Urgent Care Clinic/Center
- Elizabethton, TN
- NPI 1144380833
-
- Internal Medicine Physician
- Johnson City, TN
- NPI 1043688385
-
- Family Medicine Physician
- Johnson City, TN
- NPI 1982553756
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
Hospital & facility affiliations 41
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mountain Home, AR
- NPI 1033147921
-
- General Acute Care Hospital
- Mountain Home, AR
- NPI 1881788933
-
- Hospitalist Physician
- Searcy, AR
- NPI 1053662890
-
- General Acute Care Hospital
- Searcy, AR
- NPI 1568406536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1114587623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 W MARKHAM ST # 783",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057101",
"telephone_number": "501-686-8000",
"fax_number": "501-526-5148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 W MARKHAM ST # 556",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057101",
"telephone_number": "501-686-8000",
"fax_number": "501-526-5148"
}
],
"practiceLocations": [
{
"address_1": "410 N State Of Franklin Rd Ste 135B",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376046972",
"country_code": "US",
"telephone_number": "423-431-4866",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "550 University Blvd Rm 663",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025149",
"country_code": "US",
"telephone_number": "317-274-1866",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PURUSHOTHAMAN",
"first_name": "RANGARAJAN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-17",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AR",
"license": "E-17197",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "74045",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.