Individual provider Active NPI

Raymond J Orgler Jr., M.D.

  • Surgery Physician
  • Tupelo, MS
National Provider Identifier
1487639373
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
17566 Issued in MS
Practice address
440 Pegram Dr
Tupelo, MS 38801-6319
Phone
(662) 844-5344
Fax
(662) 844-5363
NPI assigned
Dec 13, 2005
Last updated
Jul 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 17566 MS Primary
Trauma Surgery Physician 2086S0127X 17566 MS
Vascular Surgery Physician 2086S0129X 17566 MS

Addresses

Primary practice location

440 Pegram Dr
Tupelo, MS 38801-6319

Mailing address

440 Pegram Dr
Tupelo, MS 38801-6319
Phone (662) 844-5344

Other identifiers 1

IdentifierTypeStateIssuer
00125698MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20111026000417 MS Practitioner - General SurgeryPractitioner - Vascular Surgery 9830362409 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
University of Mississippi School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgery Associates PAGroup PAC ID 5597747725, 3 clinicians

Practice addresses (Care Compare)

440 Pegram Dr
Tupelo, MS 38801-6319
Phone (662) 844-5344

607 Garfield St
Tupelo, MS 38801-6337
Phone (662) 377-8921

830 S Gloster St
Tupelo, MS 38801-4934
Phone (662) 377-3000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)13
Varicose vein removal26
Melanoma (skin cancer) excision1-10
Removal of tissue19
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17566MSMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center Services LLC Current Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Surgery Associates PA Surgery CurrentSince Oct 1, 2001 Accepting new patients
North Mississippi Medical Center Services LLC CurrentSince Oct 15, 2012 Accepting new patients

Locations

440 Pegram Dr
Tupelo, MS 38801
Phone (662) 844-5344

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

Interoperability endpoints

  • Direct secure messaging: raymondorgler@nmhs.medalliesdirect.net

Organizations & group practices 4

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1487639373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 PEGRAM DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016319",
            "telephone_number": "662-844-5344",
            "fax_number": "662-844-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 PEGRAM DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016319",
            "telephone_number": "662-844-5344",
            "fax_number": "662-844-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORGLER",
        "first_name": "RAYMOND",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "17566",
            "primary": true
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "MS",
            "license": "17566",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MS",
            "license": "17566",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00125698",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.