Active NPI
Nisha Rajagopal
- Pediatrics Physician
- Tulsa, OK
National Provider Identifier
1376159632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 38309
- Practice address
- 6152 S Richmond Ave
Tulsa, OK 74136-1613 - Phone
- (918) 704-1585
- NPI assigned
- Sep 21, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 38309 | OK | |
| Pediatrics Physician | 208000000X | 38309 | OK | Primary |
Addresses
Primary practice location
6152 S Richmond Ave
Tulsa, OK 74136-1613
Mailing address
6152 S Richmond Ave
Tulsa, OK 74136-1613
Phone (918) 704-1585
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38309 | OK | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1376159632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6152 S RICHMOND AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741361613",
"telephone_number": "918-704-1585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6152 S RICHMOND AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741361613",
"telephone_number": "918-704-1585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJAGOPAL",
"first_name": "NISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-21",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OK",
"license": "38309",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OK",
"license": "38309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.