Active NPI
Raghunandan Lakshmana Motaganahalli
- Vascular Surgery Physician
- Bloomington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 01066089A
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 273010J | Other | IN | MEDICARE PTAN |
| 815500267 | Other | IN | MEDICARE PTAN |
| P00806728 | Other | IN | RAILROAD PTAN |
| 200935200 | Medicaid | IN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
- Indiana University Health North Hospital
- Iu Health West Hospital
- Indiana University Health Bloomington Hospital
- Union Hospital Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.77 of 100
- Quality
- 70.01
- Promoting interoperability
- 96
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Indiana University Health Southern Indiana Physicians, LLC | Surgery | Current | Accepting new patients |
| Indiana University Health Southern Indiana Physicians LLC | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| University Vascular Surgery, Inc | Vascular Surgery | Current | Accepting new patients |
| Arnett Clinic, LLC | Surgery | Current | 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
- rmotaganahalli16384@direct.eskenazihealth.edu
- 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.
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1013953983
Surgery
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Vascular Surgery Physician
- Indianapolis, IN
- NPI 1043328487
-
- Durable Medical Equipment & Medical Supplies
- Lafayette, IN
- NPI 1699839563
-
- Clinical Medical Laboratory
- Lafayette, IN
- NPI 1881655090
-
- Durable Medical Equipment & Medical Supplies
- Bloomington, IN
- NPI 1063179844
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carmel, IN
- NPI 1568492916
-
- General Acute Care Hospital
- Avon, IN
- NPI 1063443455
-
- General Acute Care Hospital
- Bloomington, IN
- NPI 1205860335
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1821859752
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.