Individual provider Active NPI

Raghunandan Lakshmana Motaganahalli

  • Vascular Surgery Physician
  • Bloomington, IN
National Provider Identifier
1285836932
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
01066089A Issued in IN
Practice address
2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone
(812) 355-6900
Fax
(812) 339-1292
NPI assigned
Jun 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 01066089A IN
Vascular Surgery Physician 2086S0129X 01066089A IN Primary

Addresses

Primary practice location

2651 E Discovery Pkwy
Bloomington, IN 47408-9059

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

1801 N Senate Blvd
MPC2, Suite D3500
Indianapolis, IN 46202-1228
Phone (317) 962-0280

Other identifiers 4

IdentifierTypeStateIssuer
273010JOtherINMEDICARE PTAN
815500267OtherINMEDICARE PTAN
P00806728OtherINRAILROAD PTAN
200935200MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rmotagan@direct.iuhealth.org
Direct Messaging Address rmotagan@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20090617000743 IN Practitioner - Vascular SurgeryPractitioner - General Surgery 5698825313 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Vascular Surgery, IncGroup PAC ID 7911969050, 16 clinicians
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians
Indiana University Health Southern Indiana Physicians LLCGroup PAC ID 6204748197, 474 clinicians

Practice addresses (Care Compare)

1111 Ronald Reagan Pkwy
Avon, IN 46123-7085
Phone (317) 962-0280

11700 N Meridian St
Carmel, IN 46032-4656
Phone (317) 962-0280

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

1801 N Senate Blvd
Indianapolis, IN 46202-1184
Phone (317) 962-0280

2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 353-9250

550 University Blvd
Indianapolis, IN 46202-5149
Phone (317) 962-0280

Hospital & facility affiliations

  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056
  • Indiana University Health North Hospital Hospital, Carmel, IN, CCN 150161
  • Iu Health West Hospital Hospital, Avon, IN, CCN 150158
  • Indiana University Health Bloomington Hospital Hospital, Bloomington, IN, CCN 150051
  • Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023

Merit-based Incentive Payment System (MIPS)

Final score
88.77 of 100Reported as individual
Quality
70.01
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arnett Clinic, LLC Current Accepting new patients
Iu Health Medical Group, LLC CurrentSince Jan 10, 2026 Accepting new patients
Indiana University Health Southern Indiana Physicians, LLC Surgery CurrentSince Jul 31, 2023 Accepting new patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince Jul 31, 2023 Accepting new patients
Arnett Clinic, LLC CurrentSince Jul 1, 2018 Accepting new patients
University Vascular Surgery, Inc Vascular Surgery CurrentSince Jul 1, 2009 Accepting new patients
Arnett Clinic, LLC Surgery CurrentSince Jul 1, 2018 Accepting new patients
Major Hospital Past Accepting new patients

Locations

8016 Reliable Pkwy
Chicago, IL 60686

1115 Ronald Reagan Pkwy
Ste 141
Avon, IN 46123
Phone (317) 217-2700

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

2651 E Discovery Pkwy
Bloomington, IN 47408
Phone (812) 353-9147

11700 N Meridian St
Carmel, IN 46032
Phone (317) 688-2000

1801 N Senate Blvd
Ste 3300
Indianapolis, IN 46202
Phone (317) 948-0944

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1801 Senate Blvd
Ste D3500
Indianapolis, IN 46202
Phone (317) 962-0282

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

1801 Senate Blvd
Indianapolis, IN 46202
Phone (317) 929-8880

5165 McCarty Ln
Lafayette, IN 47905
Phone (800) 899-8448

2600 Greenbush St
Lafayette, IN 47904

Interoperability endpoints

  • Direct secure messaging: rmotaganahalli16384@direct.eskenazihealth.edu
  • Direct secure messaging: rmotagan@direct.iuhealth.org

Organizations & group practices 8

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 6

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1285836932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 E DISCOVERY PKWY",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474089059",
            "telephone_number": "812-355-6900",
            "fax_number": "812-339-1292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 N Senate Blvd",
            "address_2": "MPC2, Suite D3500",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462021228",
            "country_code": "US",
            "telephone_number": "317-962-0280",
            "fax_number": "317-962-0289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOTAGANAHALLI",
        "first_name": "RAGHUNANDAN",
        "middle_name": "LAKSHMANA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01066089A",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IN",
            "license": "01066089A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "273010J",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "815500267",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PTAN",
            "identifier": "P00806728",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200935200",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmotagan@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "1801 N Senate Blvd",
            "address_2": "MPC2, Suite D3500",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmotagan@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2651 E Discovery Pkwy",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474089059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.