Kuppusamy Ragupathi, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

H2165 Issued in TX

Practice address

1602 Rock Prairie Road
Suite 200
College Station, TX 77845

Phone

(979) 693-6641

Fax

(979) 693-7493

NPI assigned

Oct 11, 2006

Last updated

May 1, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TX, ND2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Altru Health System

  dba Altru 1300 Columbia

  • Clinic/Center
  • Grand Forks, ND
  • NPI 1043309552
  Medicare reassignment NPD
• Altru Health System

  dba Altru Care Flight

  • Ambulance
  • Grand Forks, ND
  • NPI 1114485315
  NPD
• Altru Health System

  • General Acute Care Hospital
  • Grand Forks, ND
  • NPI 1154346161
  NPD
• Mid-Hudson Urological Associates

  • Urology Physician
  • Newburgh, NY
  • NPI 1831218130
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1639267727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 ROCK PRAIRIE ROAD",
            "address_2": "SUITE 200",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "77845",
            "telephone_number": "979-693-6641",
            "fax_number": "979-693-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 ROCK PRAIRIE ROAD",
            "address_2": "SUITE 200",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "77845",
            "telephone_number": "979-693-6641",
            "fax_number": "979-693-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGUPATHI",
        "first_name": "KUPPUSAMY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "H2165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032780101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenny Hoang-Sang Quach
• Stuart Quartemont, MD
• Tanner Ward Quick, D.C.
• M. Theresa Quinn, P.H.D.
• Samantha Quinones
• Rohini Ragupathi
• Amir Rahman, M.D.
• Rajpreet K Singh, DO, PA (AOCBV Arthritis & Osteoporosis Clinic of Brazos Valley)
• Teresa Ramirez, LVN
• Grace Alana Ramos

• Gastroenterology Physician in College Station, TX
• Providers in College Station, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.