Individual provider Active NPI

Thiru Rajagopal, M.D.

  • Surgery Physician
  • Sacramento, CA
National Provider Identifier
1124132246
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A448370 Issued in CA
Practice address
3939 J St
Ste. 200
Sacramento, CA 95819-3631
Phone
(916) 453-8806
Fax
(916) 453-1961
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A448370 CA Primary

Addresses

Primary practice location

3939 J St
Ste. 200
Sacramento, CA 95819-3631

Mailing address

3939 J St
Ste 340
Sacramento, CA 95819-3666
Phone (916) 453-8806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040809000907 CA Practitioner - General Surgery 9638141831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3939 J St
Suite 340
Sacramento, CA 95819-3666
Phone (916) 453-8806

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Mastectomy15
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A448370CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
University of California San Francisco Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1124132246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 J ST",
            "address_2": "STE 340",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193666",
            "telephone_number": "916-453-8806",
            "fax_number": "916-453-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 J ST",
            "address_2": "STE. 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193631",
            "telephone_number": "916-453-8806",
            "fax_number": "916-453-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJAGOPAL",
        "first_name": "THIRU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A448370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.