Individual provider Active NPI

Rajesh Rangaraj, MD

  • Ophthalmology Physician
  • Marietta, GA
National Provider Identifier
1528079878
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
058314 Issued in GA
Practice address
653 Cherokee St NE
Marietta, GA 30060-8978
Phone
(770) 419-1393
Fax
(770) 419-8188
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 058314 GA Primary

Addresses

Primary practice location

653 Cherokee St NE
Marietta, GA 30060-8978

Mailing address

653 Cherokee St NE
Marietta, GA 30060-8978
Phone (770) 419-1393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20070625000406 GA Practitioner - Ophthalmology 7416939897 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Ohio State University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Eye SpecialistsGroup PAC ID 0941297337, 4 clinicians

Practice addresses (Care Compare)

653 Cherokee St NE
Marietta, GA 30060-8911
Phone (770) 419-1393

Hospital & facility affiliations

  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery357

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
058314GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Eye Specialists CurrentSince Mar 1, 2023 Accepting new patients
Jing Dong M.D. P.C. Ophthalmology CurrentSince Sep 1, 2021 Accepting new patients
Richard Carlin MD PC CurrentSince Sep 16, 2022 Accepting new patients
Jing Dong M.D. P.C. Ophthalmology CurrentSince Sep 1, 2021 Accepting new patients
Health Services of Central Georgia, Inc Ophthalmology CurrentSince Jul 1, 2022 Accepting new patients
John M Dixon MD PC Past Accepting new patients
Grand Traverse Ophthalmology Clinic PC Ophthalmology Past Accepting new patients
Yaldo Eye Centers PC Ophthalmology Past Accepting new patients

Locations

651 S Milledge Ave
Athens, GA 30605
Phone (706) 546-9290

1110 Commerce Dr
Ste 112
Greensboro, GA 30642
Phone (706) 453-1922

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

653 Cherokee St NE
Marietta, GA 30060
Phone (770) 419-1393

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

2377 Lenora Church Rd
Snellville, GA 30078
Phone (770) 979-2020

500 Ross St
Pittsburgh, PA 15262
Phone (844) 362-6808

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1528079878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 CHEROKEE ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608978",
            "telephone_number": "770-419-1393",
            "fax_number": "770-419-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 CHEROKEE ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608978",
            "telephone_number": "770-419-1393",
            "fax_number": "770-419-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANGARAJ",
        "first_name": "RAJESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2024-02-29",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "058314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.