Individual provider Active NPI

Hari Ganesh Rajagopal, MBBS

  • Pediatric Cardiology Physician
  • New Hyde Park, NY
National Provider Identifier
1548605140
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
283684 Issued in NY
Practice address
1111 Marcus Ave Ste M15
New Hyde Park, NY 11042-1034
Phone
(516) 601-7200
Fax
(516) 601-7380
NPI assigned
May 8, 2013
Last updated
Mar 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01072510A IN
Pediatric Cardiology Physician 2080P0202X 283684 NY Primary

Addresses

Primary practice location

1111 Marcus Ave Ste M15
New Hyde Park, NY 11042-1034

Mailing address

1111 Marcus Ave Ste M15
New Hyde Park, NY 11042-1034
Phone (516) 601-7200

Other practice location 1

101 Clinton Ave Apt 4H
Mineola, NY 11501-2853
Phone (516) 780-4796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20181106001971 NY Practitioner - Pediatric Medicine 1557615747 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

27005 75TH Ave
New Hyde Park, NY 11040-1402
Phone (718) 470-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01072510AINMDPediatrics Physician
283684NYMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai School of Medicine Multi-Specialty CurrentSince May 1, 2019 Accepting new patients
Fpa Hospital Based Multi-Specialty CurrentSince Jan 1, 2019 Accepting new patients
Mount Sinai School of Medicine Multi-Specialty Current Accepting new patients
Mount Sinai School of Medicine Multi-Specialty CurrentSince May 1, 2019 Accepting new patients
Northwell Health Current Accepting new patients
Fpa Hospital Based Multi-Specialty Current Accepting new patients
Fpa Hospital Based Multi-Specialty CurrentSince Jan 1, 2019 Accepting new patients
Mount Sinai School of Medicine Multi-Specialty Past Accepting new patients

Locations

657 Central Ave
Cedarhurst, NY 11516
Phone (516) 374-0670

3712 82nd St
Jackson Hts, NY 11372
Phone (718) 879-1600

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: harirajagopal@northwell.allscriptsdirect.net

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 2

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": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1548605140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MARCUS AVE STE M15",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421034",
            "telephone_number": "516-601-7200",
            "fax_number": "516-601-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MARCUS AVE STE M15",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421034",
            "telephone_number": "516-601-7200",
            "fax_number": "516-601-7380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Clinton Ave Apt 4H",
            "address_purpose": "LOCATION",
            "city": "Mineola",
            "state": "NY",
            "postal_code": "115012853",
            "country_code": "US",
            "telephone_number": "516-780-4796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJAGOPAL",
        "first_name": "HARI",
        "middle_name": "GANESH",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-08",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01072510A",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NY",
            "license": "283684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.