Active NPI
Nandakumar Nagaraja, M.D., M.S.
- Neurology Physician
- Hershey, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD475455
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017858000 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD039587 | DC | MD | Neurology Physician |
| D0072293 | MD | MD | Neurology Physician |
| 41133 | IA | MD | Vascular Neurology Physician |
| MD475455 | PA | MD | Vascular Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fulton County Medical Center | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physician Group | Current | Accepting new patients | |
| Fulton County Medical Center | Current | Accepting new patients | |
| Mount Nittany Medical Center Health Services Inc | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physician Group | Neurology | Current | 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
- 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.
-
dba Mount Nittany Physician Group
- Internal Medicine Physician
- State College, PA
- NPI 1598992554
-
- Orthopaedic Surgery Physician
- Hershey, PA
- NPI 1710951744
-
- Critical Access Hospital
- McConnellsburg, PA
- NPI 1326044694
-
- Critical Access Hospital
- McConnellsburg, PA
- NPI 1386722312
-
- Body Imaging Physician
- Hershey, PA
- NPI 1346215928
-
- Neurology Physician
- Hershey, PA
- NPI 1629043203
-
dba Team Home Health
- Home Health Agency
- McConnellsburg, PA
- NPI 1255302402
-
- Medical Specialty Clinic/Center
- Orbisonia, PA
- NPI 1871953737
-
- General Acute Care Hospital
- Hershey, PA
- NPI 1568435477
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hershey, PA
- NPI 1568435477
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.