Organization Active NPI

Kumar Rajagopalan MD PA

Doing business as Continuum Medical Group

  • Pulmonary Disease Physician
  • Lauderdale Lakes, FL
National Provider Identifier
1366721334
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME50454 Issued in FL
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

Updated by the provider on Apr 19, 2016

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)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
045636500MedicaidFL

Other names 1

  • Continuum Medical Group Doing business as

National Provider Directory

National Provider Directory

Locations

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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.