Active NPI
Nagaveni Ragothaman, MD
- Psychiatry Physician
- Oregon, OH
National Provider Identifier
1295745883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35067496
- Practice address
- 2600 Navarre Ave
Oregon, OH 43616-3207 - Phone
- (419) 696-8800
- Fax
- (419) 696-8819
- NPI assigned
- Aug 8, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35067496 | OH | Primary |
Addresses
Primary practice location
2600 Navarre Ave
Oregon, OH 43616-3207
Mailing address
2200 Jefferson Ave
Toledo, OH 43604-7101
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0116841 | Medicaid | OH | |
| 000000322502 | Other | OH | ANTHEM BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35067496 | OH | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446768000000",
"number": "1295745883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 JEFFERSON AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436047101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 NAVARRE AVE",
"city": "OREGON",
"state": "OH",
"postal_code": "436163207",
"telephone_number": "419-696-8800",
"fax_number": "419-696-8819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAGOTHAMAN",
"first_name": "NAGAVENI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2015-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35067496",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0116841",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000322502",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oregon, OH
- Promedica Continuing Care Services Corp
- Promedica Northwest Ohio Cardiology Consultants, LLC
- Promedica Northwest Ohio Cardiology Consultants, LLC
- Pulmonary and Critical Specialists Inc
- Tarek Raad, MD
- Ranvir Singh Rathore
- Champa K. Ratra, M.D.
- Lindsey Reames, NP
- Emma Reardon-Meach
- Reed Vision Associates, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.