NPIMap

Individual provider Active NPI

Krishna M Ragothaman, MD

  • Family Medicine Physician
  • Oak Harbor, OH
National Provider Identifier
1295738235
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35068996 Issued in OH
Practice address
128 N Locust St
Oak Harbor, OH 43449-1358
Phone
(419) 898-8124
Fax
(419) 898-9148
NPI assigned
May 23, 2005
Last updated
Jun 25, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35068996 OH Primary

Addresses

Primary practice location

128 N Locust St
Oak Harbor, OH 43449-1358

Mailing address

128 N Locust St
Oak Harbor, OH 43449-1358
Phone (419) 898-8124

Other identifiers 1

IdentifierTypeStateIssuer
0181646MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081205000202 OH Practitioner - Family Practice 9537127410 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Krishna M Ragothaman MD IncGroup PAC ID 5496913444, 2 clinicians
RS Medical Group PCGroup PAC ID 3375501240, 5 clinicians

Practice addresses (Care Compare)

128 N Locust St
Oak Harbor, OH 43449-1358
Phone (419) 898-8124

3355 Briarfield Blvd E
Maumee, OH 43537-8668
Phone (419) 868-3788

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians Family Medicine CurrentSince May 15, 2013 Accepting new patients
Mercy Medical Partners Northern Region Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
RS Medical Group PC CurrentSince Aug 1, 2006 Accepting new patients
Promedica Central Physicians CurrentSince May 15, 2013 Accepting new patients
Mercy Medical Partners Northern Region LLC CurrentSince Jul 15, 2013 Accepting new patients
Mercy Medical Partners Northern Region LLC CurrentSince Jul 15, 2013 Accepting new patients
Mercy Medical Partners Northern Region Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Krishna M Ragothaman MD Inc Family Medicine CurrentSince Sep 1, 1998 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Mercy Health - St Vincent Medical Center LLC Past Accepting new patients
Mercy Health - Defiance Hospital LLC Past Accepting new patients

Locations

1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414

3355 Briarfield Blvd
Ste E
Maumee, OH 43537
Phone (419) 868-3788

1600 E Riverview Ave
Ste 101
Napoleon, OH 43545
Phone (419) 592-8774

128 N Locust St
Oak Harbor, OH 43449
Phone (419) 898-0462

128 N Locust St
Ste B
Oak Harbor, OH 43449
Phone (419) 862-2916

2801 Bay Park Dr
Oregon, OH 43616
Phone (419) 690-7652

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

725 S Shoop Ave
Wauseon, OH 43567
Phone (419) 335-2015

Interoperability endpoints

  • Direct secure messaging: kragothaman79285@direct.bsmhealth.org

Organizations & group practices 11

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.

Hospital & facility affiliations 9

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245888000000",
    "number": "1295738235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 N LOCUST ST",
            "city": "OAK HARBOR",
            "state": "OH",
            "postal_code": "434491358",
            "telephone_number": "419-898-8124",
            "fax_number": "419-898-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 N LOCUST ST",
            "city": "OAK HARBOR",
            "state": "OH",
            "postal_code": "434491358",
            "telephone_number": "419-898-8124",
            "fax_number": "419-898-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGOTHAMAN",
        "first_name": "KRISHNA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2009-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35068996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0181646",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, OH

Sources for this page

Verify at the official NPI Registry.