Individual provider Active NPI

Rup K Nagala, M.D.

  • Family Medicine Physician
  • Oakes, ND
National Provider Identifier
1336138601
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3838 Issued in ND
Practice address
420 S 7TH St
Oakes, ND 58474-2024
Phone
(701) 742-3267
Fax
(701) 742-3201
NPI assigned
Oct 19, 2005
Last updated
Dec 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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 3838 ND Primary

Addresses

Primary practice location

420 S 7TH St
Oakes, ND 58474-2024

Mailing address

420 South 7TH St
PO Box 50
Oakes, ND 58474-0050
Phone (701) 742-3267

Other identifiers 14

IdentifierTypeStateIssuer
CF8850OtherNDRAILROAD MEDICARE
18152OtherNDBLUE SHIELD
18154OtherNDBLUE SHIELD
080027931OtherNDRAILROAD MEDICARE
18156OtherNDBLUE SHIELD
25961OtherNDBLUE SHIELD
18151OtherNDBLUE SHIELD
DD1370OtherNDRAILROAD MEDICARE
13516MedicaidND
25267OtherBLUE SHIELD
18155OtherNDBLUE SHIELD
12765MedicaidND
28578OtherNDBLUE SHIELD
P00210261OtherNDRAILROAD MEDICARE

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Fargo Past Accepting new patients
Southeast Medical Center PC Past Accepting new patients
Sanford Medical Center Fargo Past Accepting new patients
Sanford Clinic North Family Medicine Past Accepting new patients
Regional Clinic LTD Past Accepting new patients
Sanford Clinic North PastSince Jul 1, 1999 Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1336138601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 SOUTH 7TH ST",
            "address_2": "PO BOX 50",
            "city": "OAKES",
            "state": "ND",
            "postal_code": "584740050",
            "telephone_number": "701-742-3267",
            "fax_number": "701-742-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S 7TH ST",
            "city": "OAKES",
            "state": "ND",
            "postal_code": "584742024",
            "telephone_number": "701-742-3267",
            "fax_number": "701-742-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGALA",
        "first_name": "RUP",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "3838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CF8850",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "18152",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "18154",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080027931",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "18156",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "25961",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "18151",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD1370",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13516",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "25267",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "18155",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12765",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "28578",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00210261",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakes, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.