Individual provider Active NPI

Rangarajan Purushothaman

  • Diagnostic Radiology Physician
  • Little Rock, AR
National Provider Identifier
1114587623
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
E-17197 Issued in AR
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

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, OK5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20241031002197 AR Practitioner - Diagnostic Radiology 3173859923 Reassigns benefits to 3 organizations
I20250602000745 TN Practitioner - Diagnostic Radiology 3173859923 Reassigns benefits to 2 organizations
I20250730004300 TX Practitioner - Diagnostic Radiology 3173859923 Reassigns benefits to 1 organization
I20250814001557 VA Practitioner - Diagnostic Radiology 3173859923 Reassigns benefits to 1 organization
I20260420000792 OK Practitioner - Diagnostic Radiology 3173859923 Reassigns benefits to 1 organization

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
Blue Ridge Radiology PCGroup PAC ID 7416860473, 77 clinicians
Clear View Radiology PLLCGroup PAC ID 1850837964, 25 clinicians
North Arkansas RadiologyGroup PAC ID 0648372763, 27 clinicians
Radiologists of Russellville PAGroup PAC ID 4385741685, 27 clinicians
Angelina Diagnostic Radiology AssociatesGroup PAC ID 1850380890, 71 clinicians
Blue Ridge Medical Management CorporationGroup PAC ID 9739099441, 283 clinicians

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 Hospital, Searcy, AR, CCN 040014
  • Johnson City Medical Center Hospital, Johnson City, TN, CCN 440063
  • Stillwater Medical Center Hospital, Stillwater, OK, CCN 370049
  • Baxter Health Hospital, Mountain Home, AR, CCN 040027
  • White River Medical Center Hospital, Batesville, AR, CCN 040119

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Arkansas Radiology Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
Clear View Radiology, PLLC Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Blue Ridge Radiology, P.C. Diagnostic Radiology CurrentSince Jul 21, 2025 Accepting new patients
Radiologists of Russellville PA Diagnostic Radiology CurrentSince Nov 11, 2024 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Jul 1, 2025 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Jul 1, 2025 Accepting new patients
Angelina Diagnostic Radiology Associates Diagnostic Radiology CurrentSince Jul 19, 2025 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.

Hospital & facility affiliations 41

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

View all 41

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

Verify at the official NPI Registry.