Individual provider Active NPI

Raghava R. Gollapudi, M.D.

  • Interventional Cardiology Physician
  • San Diego, CA
National Provider Identifier
1467429191
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A73392 Issued in CA
Practice address
3131 Berger Ave
Suite 200
San Diego, CA 92123-4233
Phone
(858) 244-6865
Fax
(858) 244-6892
NPI assigned
Mar 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A73392 CA
Interventional Cardiology Physician 207RI0011X A73392 CA Primary
Vascular & Interventional Radiology Physician 2085R0204X A73392 CA

Addresses

Primary practice location

3131 Berger Ave
Suite 200
San Diego, CA 92123-4233

Mailing address

3131 Berger Ave Ste 200
San Diego, CA 92123-4203
Phone (858) 244-6865

Other practice location 1

750 Medical Center Ct Ste 10
Chula Vista, CA 91911-6634
Phone (619) 482-0300

Other practice location 2

300 S Pierce St Ste 102
El Cajon, CA 92020-4124
Phone (619) 668-4700

Other identifiers 1

IdentifierTypeStateIssuer
00A733920MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070212000284 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional RadiologyPractitioner - Other (Physician) 1951303569 Reassigns benefits to 2 organizations
I20150305000032 CA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 1951303569 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Hahneman Medical College of the Pacific, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scripps Mercy Physicians Cardiology Medical CorporationGroup PAC ID 0143264879, 34 clinicians
On Call Specialists Medical Group of San Diego IncGroup PAC ID 7911395231, 145 clinicians
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians
San Diego Cardiac Center Medical Group Inc.Group PAC ID 8628045986, 21 clinicians

Practice addresses (Care Compare)

4077 5TH Ave
San Diego, CA 92103-2105
Phone (619) 260-7245

435 H St
Chula Vista, CA 91910-4307
Phone (619) 359-6600

7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3400

890 Eastlake Pkwy
Suite 205
Chula Vista, CA 91914-4521
Phone (858) 244-6800

Hospital & facility affiliations

  • Giving Hands Home Health Care, Inc Home health agency, Encino, CA, CCN 757087
  • Scripps Mercy Hospital Hospital, San Diego, CA, CCN 050077
  • Sharp Memorial Hospital Hospital, San Diego, CA, CCN 050100
  • Sharp Chula Vista Medical Center Hospital, Chula Vista, CA, CCN 050222
  • Grossmont Hospital Hospital, La Mesa, CA, CCN 050026
  • Sharp Coronado Hospital and Hlthcr Ctr Hospital, Coronado, CA, CCN 050234

Merit-based Incentive Payment System (MIPS)

Final score
89.9 of 100Reported as group
Quality
70.91
Promoting interoperability
99
Improvement activities
40
Cost
64.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting44
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73392CAMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Scripps Mercy Physicians Cardiology Medical Corporation Cardiovascular Disease CurrentSince May 20, 2017 Accepting new patients
On Call Specialists Medical Group of San Diego, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Jul 31, 2008 Accepting new patients
Scripps Clinic Medical Group, Inc Past Accepting new patients
Sharp Chula Vista Medical Center Past Accepting new patients
Sharp Memorial Hospital Past Accepting new patients

Locations

751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639

435 H St
Chula Vista, CA 91910
Phone (619) 691-7000

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

4060 4th Ave
Ste 220
San Diego, CA 92103
Phone (619) 299-2350

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

650 E Devon Ave
Ste 165
Itasca, IL 60143
Phone (630) 285-1040

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rgollapudi31674@scrippshlth.medalliesdirect.net
  • Direct secure messaging: rgollapudi33245@sharphealthcare.direct-ci.com

Organizations & group practices 8

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 7

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1467429191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 BERGER AVE STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234203",
            "telephone_number": "858-244-6865",
            "fax_number": "858-244-6892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 BERGER AVE",
            "address_2": "SUITE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234233",
            "telephone_number": "858-244-6865",
            "fax_number": "858-244-6892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Medical Center Ct Ste 10",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919116634",
            "country_code": "US",
            "telephone_number": "619-482-0300",
            "fax_number": "858-682-2202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 S Pierce St Ste 102",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920204124",
            "country_code": "US",
            "telephone_number": "619-668-4700",
            "fax_number": "616-668-0049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLLAPUDI",
        "first_name": "RAGHAVA",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A73392",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A73392",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A73392",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A733920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.