Active NPI
Ragupathy Veluswamy, M.D
- Pediatrics Physician
- Wilkes Barre, PA
National Provider Identifier
1376638817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD432927
- Practice address
- 575 N River St
Wilkes Barre, PA 18764-0999 - Phone
- (570) 552-3054
- Fax
- (570) 552-3056
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD432927 | PA | Primary |
Addresses
Primary practice location
575 N River St
Wilkes Barre, PA 18764-0999
Mailing address
3 Morris Cir
Dallas, PA 18612-9092
Phone (570) 674-0590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3697801 | Medicaid | NJ |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD432927 | PA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320883200000",
"number": "1376638817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 MORRIS CIR",
"city": "DALLAS",
"state": "PA",
"postal_code": "186129092",
"telephone_number": "570-674-0590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 N RIVER ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187640999",
"telephone_number": "570-552-3054",
"fax_number": "570-552-3056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELUSWAMY",
"first_name": "RAGUPATHY",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2011-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD432927",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3697801",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilkes Barre, PA
- Joseph T. Velehoski, PA-C
- Stacey Ann Velez
- Michele Mercedes Vella-Healey, PH.D.
- Velo-Zorzi Psychological Services, LLC (Red Bird Mental Health Services)
- Megan Anne Velo-Zorzi, PSY.D., M.ED.
- Akila Venkataraman, MD
- Varshini Venkatesan, DO
- Christina Venna-Waugh, LPC
- Steven A Vergalito, OTRL
- Vivek Verma, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.