Individual provider Active NPI

Priya Rajagopalan, M.D.

  • Cardiovascular Disease Physician
  • Camp Hill, PA
National Provider Identifier
1598173528
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD462252 Issued in PA
Practice address
875 Poplar Church Rd Ste 400
Camp Hill, PA 17011-2203
Phone
(717) 724-6450
Fax
(717) 724-6451
NPI assigned
Jul 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD462252 PA Primary

Addresses

Primary practice location

875 Poplar Church Rd Ste 400
Camp Hill, PA 17011-2203

Mailing address

500 University Dr
Ca410
Hershey, PA 17033-2360
Phone (800) 243-1455

Other practice location 1

1211 Forge Rd Ste 200
Carlisle, PA 17013-3183
Phone (717) 724-6450

Other practice location 2

20 Capital Dr
Harrisburg, PA 17110-9446
Phone (717) 724-6450

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address prajagopalan@direct.psu.edu

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210816003176 PA Practitioner - Cardiovascular Disease (Cardiology) 6002108636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

875 Poplar Church Rd
Suite 400
Camp Hill, PA 17011-2203
Phone (717) 724-6450

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
65.84
Promoting interoperability
100
Improvement activities
40
Cost
77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting27
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD462252PAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC CurrentSince Oct 1, 2022 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Penn State Health Medical Group, LLC Internal Medicine CurrentSince Oct 1, 2022 Accepting new patients
Penn State Health Medical Group, LLC Cardiovascular Disease Past Accepting new patients
Penn State Health Holy Spirit Medical Center Cardiovascular Disease Past Accepting new patients

Locations

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

875 Poplar Church Rd
Ste 400
Camp Hill, PA 17011
Phone (717) 975-0900

1211 Forge Rd
Ste 200
Carlisle, PA 17013
Phone (717) 241-5070

1211 Forge Rd
Ste 300
Carlisle, PA 17013
Phone (717) 218-3920

2200 Good Hope Rd
Enola, PA 17025
Phone (717) 981-8230

20 Capital Dr
Harrisburg, PA 17110
Phone (717) 724-6397

20 Capital Dr
Ste 100
Harrisburg, PA 17110
Phone (717) 724-6397

500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

Interoperability endpoints

  • Direct secure messaging: prajagopalan@direct.psu.edu

Organizations & group practices 5

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 4

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": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1598173528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DR",
            "address_2": "CA410",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332360",
            "telephone_number": "800-243-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 POPLAR CHURCH RD STE 400",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112203",
            "telephone_number": "717-724-6450",
            "fax_number": "717-724-6451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 Forge Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170133183",
            "country_code": "US",
            "telephone_number": "717-724-6450",
            "fax_number": "717-724-6451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Capital Dr",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171109446",
            "country_code": "US",
            "telephone_number": "717-724-6450",
            "fax_number": "717-724-6451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJAGOPALAN",
        "first_name": "PRIYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD462252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "prajagopalan@direct.psu.edu",
            "affiliation": "N",
            "address_1": "875 Poplar Church Rd Ste 400",
            "city": "Camp Hill",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170112203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.