Balakrishna R Ragoor, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD042607L Issued in PA

Practice address

4217 Northern Pike
Monroeville, PA 15146-2713

Phone

(412) 372-9100

Fax

(412) 372-6952

NPI assigned

Feb 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: bragoor@direct.excelahealth.org
• Direct secure messaging: bragoor11306@direct.ahn.org

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.

• Pennsylvania Department of Human Services

  • Psychiatric Hospital
  • Torrance, PA
  • NPI 1376526111
  Medicare reassignment NPD
• Pennsylvania Department of Public Welfare

  • Psychiatric Hospital
  • Allentown, PA
  • NPI 1386626919
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1568436152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 NORTHERN PIKE",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462713",
            "telephone_number": "412-372-9100",
            "fax_number": "412-372-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 NORTHERN PIKE",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462713",
            "telephone_number": "412-372-9100",
            "fax_number": "412-372-6952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGOOR",
        "first_name": "BALAKRISHNA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD042607L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001237169",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bragoor11306@direct.ahn.org",
            "affiliation": "N",
            "address_1": "4217 Northern Pike",
            "city": "Monroeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151462713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Susan E Rabe, PA-C
• Trasera Lynn Rabenold, DNP, RN
• Stephen J Rabuck, M.D.
• Arif M Rafi, M.D.
• Ragoor Family Practice LLC
• Amber Raimondo
• Lindey Raines
• Manjusha Rajamohanty, M.D.
• Kalpana Rajashekar
• Carley Raleigh, CRNP

• Family Medicine Physician in Monroeville, PA
• Providers in Monroeville, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.