Active NPI
Raj K Nangunoori, M.D.
- Neurological Surgery Physician
- Monroeville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- MD452631
- Practice address
- 2580 Haymaker Rd Ste 106
Monroeville, PA 15146-3500 - Phone
- (412) 858-7766
- Fax
- (412) 858-7769
- NPI assigned
- Aug 27, 2012
- Last updated
- Oct 2, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | MD452631 | PA | Primary |
Addresses
Primary practice location
2580 Haymaker Rd Ste 106
Monroeville, PA 15146-3500
Mailing address
2580 Haymaker Rd Ste 106
Monroeville, PA 15146-3500
Phone (412) 858-7766
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14492843 | Other | CAQH | |
| 103238391 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rnangunoori26102@direct.ahn.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seton Family of Doctors | Current | Accepting new patients | |
| Seton Family of Doctors | Neurological Surgery | Current | Accepting new patients |
Locations
1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300
5103 Kyle Center Dr
Ste 104
Kyle, TX 78640
Phone (512) 268-2929
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
Interoperability endpoints
- rnangunoori1056688@directc.mercy.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurological Surgery Physician
- Austin, TX
- NPI 1588997233
-
dba Ascension Texas Imaging
- Radiology Clinic/Center
- Austin, TX
- NPI 1275290694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601596800000",
"number": "1134477037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2580 HAYMAKER RD STE 106",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151463500",
"telephone_number": "412-858-7766",
"fax_number": "412-858-7769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2580 HAYMAKER RD STE 106",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151463500",
"telephone_number": "412-858-7766",
"fax_number": "412-858-7769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NANGUNOORI",
"first_name": "RAJ",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-27",
"last_updated": "2020-10-02",
"certification_date": "2020-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "PA",
"license": "MD452631",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "14492843",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103238391",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rnangunoori26102@direct.ahn.org",
"affiliation": "N",
"address_1": "2580 Haymaker Rd Ste 106",
"city": "Monroeville",
"state": "PA",
"country_code": "US",
"postal_code": "151463500",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Monroeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.