Individual provider Active NPI

Eugene C Rajaratnam, M.D.

  • Urology Physician
  • Palmdale, CA
National Provider Identifier
1386739027
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
C42345 Issued in CA
Practice address
38921 Trade Center Dr
Palmdale, CA 93551-3652
Phone
(661) 945-0601
Fax
(833) 974-2391
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X C42345 CA Primary

Addresses

Primary practice location

38921 Trade Center Dr
Palmdale, CA 93551-3652

Mailing address

38921 Trade Center Dr
Palmdale, CA 93551-3652
Phone (661) 945-0601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041130001112 CA Practitioner - UrologyPractitioner - General SurgeryPractitioner - Other (Physician) 0749245827 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
UrologyAlso: General Surgery
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1314 N Norma St
Ridgecrest, CA 93555-2509
Phone (760) 446-2023

38921 Trade Ctr Dr
Palmdale, CA 93551-3652
Phone (661) 945-0601

39935 Vista del Sol
Suite 204
Rancho Mirage, CA 92270-3211
Phone (760) 565-6111

Hospital & facility affiliations

  • Antelope Valley Hospital Hospital, Lancaster, CA, CCN 050056
  • Ridgecrest Regional Hospital Hospital, Ridgecrest, CA, CCN 051333
  • Palmdale Regional Medical Center Hospital, Palmdale, CA, CCN 050204
  • Adventist Health Tehachapi Valley Hospital, Tehachapi, CA, CCN 051301
  • Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573

Merit-based Incentive Payment System (MIPS)

Final score
88.15 of 100Reported as individual
Quality
62.67
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C42345CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Antelope Valley Impotence & Incontinence Medical Center, Inc Urology CurrentSince Sep 8, 1987 Accepting new patients
Infinity Surgical Institute LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

44241 15th St W
Ste 101
Lancaster, CA 93534
Phone (661) 945-0601

38921 Trade Center Dr
Palmdale, CA 93551
Phone (661) 945-0601

39935 Vista del Sol
Ste 204
Rancho Mirage, CA 92270
Phone (760) 565-6111

1314 N Norma St
Ridgecrest, CA 93555
Phone (760) 446-1114

20211 W Valley Blvd
Tehachapi, CA 93561
Phone (661) 443-0088

Interoperability endpoints

  • Direct secure messaging: eugene.rajaratnam.1@23135.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1386739027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38921 TRADE CENTER DR",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513652",
            "telephone_number": "661-945-0601",
            "fax_number": "833-974-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38921 TRADE CENTER DR",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513652",
            "telephone_number": "661-945-0601",
            "fax_number": "833-974-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJARATNAM",
        "first_name": "EUGENE",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "C42345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.