Individual provider Active NPI

Rajagopal Chadalavada, MD

  • Gastroenterology Physician
  • Cincinnati, OH
National Provider Identifier
1336115443
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35-084399 Issued in OH
Practice address
10600 Montgomery Rd Ste 200
Cincinnati, OH 45242-4464
Phone
(513) 794-5600
Fax
(513) 281-1908
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-084399 OH
Gastroenterology Physician 207RG0100X 35-084399 OH Primary

Addresses

Primary practice location

10600 Montgomery Rd Ste 200
Cincinnati, OH 45242-4464

Mailing address

10600 Montgomery Rd Ste 200
Cincinnati, OH 45242-4464
Phone (513) 794-5600

Other identifiers 1

IdentifierTypeStateIssuer
000000357785OtherOHANTHEM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rajagopal.chadalavada@gastrohealth.eclinicaldirectplus.com GCGA Physicians Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20041027000060 OH Practitioner - GastroenterologyPractitioner - Internal Medicine 3678535267 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gcga Physicians Inc.Group PAC ID 4284618224, 76 clinicians

Practice addresses (Care Compare)

2925 Vernon PL
Suite 100
Cincinnati, OH 45219-2425
Phone (513) 751-6667

Hospital & facility affiliations

  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163
  • The Jewish Hospital-Mercy Health Hospital, Cincinnati, OH, CCN 360016
  • Bethesda North Hospital, Cincinnati, OH, CCN 360179
  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234
  • Mercy Health - Clermont Hospital Hospital, Batavia, OH, CCN 360236

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy66
Upper gastrointestinal (GI) endoscopy for acid reflux188

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-084399OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G LLC Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
Trihealth G, LLC CurrentSince Jan 1, 2016 Accepting new patients
Gcga Physicians Inc. Gastroenterology CurrentSince Jun 29, 2021 Accepting new patients
Galloway Anesthesia Associates LLC Past Accepting new patients
Blue Ash Endoscopy Center, LLC Past Accepting new patients

Locations

11333 Cornell Park Dr
Ste 200
Blue Ash, OH 45242

8240 Northcreek Dr
Ste 1400
Cincinnati, OH 45236
Phone (513) 792-4700

2925 Vernon Pl
Cincinnati, OH 45219
Phone (513) 861-2300

2925 Vernon Pl
Ste 100
Cincinnati, OH 45219
Phone (513) 872-4555

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

10600 Montgomery Rd
Ste 200
Montgomery, OH 45242
Phone (513) 236-2697

4685 Forest Ave
Ste C
Norwood, OH 45212
Phone (513) 246-7796

Interoperability endpoints

  • Direct secure messaging: rajagopal.chadalavada@gastrohealth.eclinicaldirectplus.com

Organizations & group practices 5

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1336115443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 MONTGOMERY RD STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424464",
            "telephone_number": "513-794-5600",
            "fax_number": "513-281-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10600 MONTGOMERY RD STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424464",
            "telephone_number": "513-794-5600",
            "fax_number": "513-281-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADALAVADA",
        "first_name": "RAJAGOPAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-084399",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35-084399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000357785",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rajagopal.chadalavada@gastrohealth.eclinicaldirectplus.com",
            "affiliation": "Y",
            "endpointDescription": "eCW Direct messaging Address",
            "affiliationName": "GCGA Physicians Inc.",
            "address_1": "2925 Vernon Pl",
            "address_2": "Suite 100",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452192425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.