Individual provider Active NPI

Nandakumar Nagaraja, M.D., M.S.

  • Neurology Physician
  • Hershey, PA
National Provider Identifier
1396989562
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD475455 Issued in PA
Practice address
30 Hope Dr Ste 1300
Hershey, PA 17033-2036
Phone
(717) 531-3828
Fax
(717) 531-4694
NPI assigned
Apr 30, 2009
Last updated
Sep 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD475455 PA Primary
Neurology Physician 2084N0400X 41133 IA
Neurology Physician 2084N0400X MD039587 DC
Neurology Physician 2084N0400X D0072293 MD
Vascular Neurology Physician 2084V0102X MD475455 PA
Vascular Neurology Physician 2084V0102X 41133 IA
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X ME128158 FL

Addresses

Primary practice location

30 Hope Dr Ste 1300
Hershey, PA 17033-2036

Mailing address

PO Box 858
Ca410
Hershey, PA 17033-0858
Phone (800) 243-1455

Other practice location 1

500 University Dr
Hershey, PA 17033-2360
Phone (800) 243-1455

Other identifiers 1

IdentifierTypeStateIssuer
017858000MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nnagaraja@direct.psu.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210830001917 PA Practitioner - Neurology 9739313735 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

129 Medical Park LN
Bellefonte, PA 16823-9112
Phone (814) 355-3626

141 Medical Park LN
Bellefonte, PA 16823-9112
Phone (814) 355-7322

155 Wellness Way
State College, PA 16803-6702

30 Hope Dr
Suite 1300
Hershey, PA 17033-2036
Phone (717) 531-3828

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
56.69
Promoting interoperability
100
Improvement activities
40
Cost
74.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD039587DCMDNeurology Physician
D0072293MDMDNeurology Physician
41133IAMDVascular Neurology Physician
MD475455PAMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fulton County Medical Center CurrentSince Nov 1, 2024 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Sep 1, 2021 Accepting new patients
Fulton County Medical Center CurrentSince Nov 1, 2024 Accepting new patients
Mount Nittany Medical Center Health Services Inc CurrentSince Dec 3, 2022 Accepting new patients
The Milton S Hershey Medical Center Physician Group Neurology CurrentSince Sep 1, 2021 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
Fulton County Medical Center Past Accepting new patients
The Milton S Hershey Medical Center Past Accepting new patients
Fulton County Medical Center Past Accepting new patients

Locations

141 Medical Park Ln
Bellefonte, PA 16823
Phone (814) 355-7322

30 Hope Dr
Ste 1300
Hershey, PA 17033
Phone (717) 531-3828

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

1850 E Park Ave
Ste 201
State College, PA 16803
Phone (814) 234-8800

Interoperability endpoints

  • Direct secure messaging: nnagaraja216060@direct.shands.ufl.edu

Organizations & group practices 9

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

Hospital & facility affiliations 1

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": "1241049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1396989562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 858",
            "address_2": "CA410",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170330858",
            "telephone_number": "800-243-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HOPE DR STE 1300",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332036",
            "telephone_number": "717-531-3828",
            "fax_number": "717-531-4694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 University Dr",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "800-243-1455",
            "fax_number": "717-531-4694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAGARAJA",
        "first_name": "NANDAKUMAR",
        "credential": "M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-30",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD475455",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IA",
            "license": "41133",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "DC",
            "license": "MD039587",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0072293",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "PA",
            "license": "MD475455",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "IA",
            "license": "41133",
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "FL",
            "license": "ME128158",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017858000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nnagaraja@direct.psu.edu",
            "affiliation": "N",
            "address_1": "30 Hope Dr Ste 1300",
            "city": "Hershey",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170332036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

Verify at the official NPI Registry.