Individual provider Active NPI

Andrew A. Ragula, MD

  • General Practice Physician
  • Biloxi, MS
National Provider Identifier
1578615001
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14846 Issued in MS
Practice address
967 Cedar Lake Rd
Biloxi, MS 39532-2128
Phone
(228) 205-6814
Fax
(228) 392-0864
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MS14846 MS
General Practice Physician 208D00000X 14846 MS Primary

Addresses

Primary practice location

967 Cedar Lake Rd
Biloxi, MS 39532-2128

Mailing address

2101 Highway 90
Gautier, MS 39553-5340

Other practice location 1

13034B Shriners Blvd
Biloxi, MS 39532-8250
Phone (228) 396-5022

Other identifiers 5

IdentifierTypeStateIssuer
00118653MedicaidMS
646000515OtherBLUE CROSS OF MS
009926505MedicaidAL
930117385OtherMEDICARE RAILROAD
646000515OtherTRICARE

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
I20100722000727 MS Practitioner - General PracticePractitioner - Emergency Medicine 5597897702 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MS14846MSMDEmergency Medicine Physician
14846MSMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Singing River Health System CurrentSince Jun 15, 2000 Accepting new patients
Harrison Hma, Inc. Past Accepting new patients
Singing River Hospital System Past Accepting new patients
South Coast Pathology Services LTD Past Accepting new patients

Locations

967 Cedar Lake Rd
Biloxi, MS 39532
Phone (228) 205-6814

13034B Shriners Blvd
Biloxi, MS 39532
Phone (228) 396-5022

2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576

3109 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 818-1100

3635 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 872-1951

2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000

2819 Denny Ave
Pascagoula, MS 39581
Phone (228) 762-3466

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1578615001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 HIGHWAY 90",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395535340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 CEDAR LAKE RD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322128",
            "telephone_number": "228-205-6814",
            "fax_number": "228-392-0864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13034B Shriners Blvd",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "395328250",
            "country_code": "US",
            "telephone_number": "228-396-5022",
            "fax_number": "228-396-5026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAGULA",
        "first_name": "ANDREW",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "MS14846",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MS",
            "license": "14846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00118653",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MS",
            "identifier": "646000515",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009926505",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "930117385",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "646000515",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.