Active NPI
Kumar Rajagopalan MD PA
Doing business as Continuum Medical Group
- Pulmonary Disease Physician
- Lauderdale Lakes, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME50454
- Legal business name
- KUMAR RAJAGOPALAN MD PA
- Doing business as
- Continuum Medical Group
- Practice address
- 4850 W Oakland Park Blvd
Suite 224
Lauderdale Lakes, FL 33313-7260 - Phone
- (954) 777-1773
- Fax
- (954) 777-1776
- NPI assigned
- Aug 9, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Trenise Bennett
- Title
- Manager
- Phone
- (954) 777-1773
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ME50454 | FL | Primary |
Addresses
Primary practice location
4850 W Oakland Park Blvd
Suite 224
Lauderdale Lakes, FL 33313-7260
Mailing address
4850 W Oakland Park Blvd
Suite 224
Lauderdale Lakes, FL 33313-7260
Phone (954) 777-1773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 045636500 | Medicaid | FL |
Other names 1
- Continuum Medical Group
National Provider Directory
National Provider DirectoryLocations
3829 Hollywood Blvd
Hollywood, FL 33021
Phone (954) 367-3600
4850 W Oakland Park Blvd
Ste 224
Lauderdale Lakes, FL 33313
Phone (786) 214-2001
3001 NW 49th Ave
Ste 308
Lauderdale Lakes, FL 33313
Phone (954) 733-7202
Interoperability endpoints
- https://api.platform.athenahealth.com/13370/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Opa Locka, FL
- NPI 1225026586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461024000000",
"number": "1366721334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4850 W OAKLAND PARK BLVD",
"address_2": "SUITE 224",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333137260",
"telephone_number": "954-777-1773",
"fax_number": "954-777-1776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4850 W OAKLAND PARK BLVD",
"address_2": "SUITE 224",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333137260",
"telephone_number": "954-777-1773",
"fax_number": "954-777-1776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KUMAR RAJAGOPALAN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-09",
"last_updated": "2016-04-19",
"status": "A",
"authorized_official_last_name": "BENNETT",
"authorized_official_first_name": "TRENISE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "954-777-1773",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME50454",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "045636500",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Continuum Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lauderdale Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.