Individual provider Active NPI

Rajagopal Srinivasan, M.D., PH.D.

  • Emergency Medicine Physician
  • Omaha, NE
National Provider Identifier
1669695946
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4977 Issued in NE
Practice address
981150 Nebraska Medical Ctr
Section of Emergency Medicine Academic Offices
Omaha, NE 68198-1150
Phone
(404) 559-6802
Fax
(402) 559-9659
NPI assigned
Apr 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4977 NE Primary

Addresses

Primary practice location

981150 Nebraska Medical Ctr
Section of Emergency Medicine Academic Offices
Omaha, NE 68198-1150

Mailing address

110 S Paca St
Department of Emergency Medicine 6TH Floor Suite 200
Baltimore, MD 21201-1642
Phone (410) 328-8025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20120502000272 MD Practitioner - Emergency Medicine 8527169309 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4977NEMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chester River Health Center CurrentSince Feb 1, 2013 Accepting new patients
Chester River Hospital Center Emergency Medicine CurrentSince Feb 1, 2013 Accepting new patients
Chester River Hospital Center Current Accepting new patients
Upper Chesapeake Emergency Medicine Physicians, LLC Emergency Medicine CurrentSince Feb 1, 2021 Accepting new patients
University of Maryland Emergency Medicine Associates, PA Emergency Medicine CurrentSince Mar 26, 2012 Accepting new patients
Conemaugh Valley Memorial Hospital Emergency Medicine Past Accepting new patients
Unmc Past Accepting new patients

Locations

660 McHenry Rd
Aberdeen, MD 21001
Phone (443) 643-1500

821 N Eutaw St
Baltimore, MD 21201
Phone (410) 225-9185

827 Linden Ave
Fl 1
Baltimore, MD 21201
Phone (410) 225-8780

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

520 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (410) 836-0128

300 Byrn St
Cambridge, MD 21613
Phone (410) 228-5511

100 Brown St
Chestertown, MD 21620
Phone (410) 778-3300

219 S Washington St
Easton, MD 21601

Organizations & group practices 7

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1669695946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S PACA ST",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE 6TH FLOOR SUITE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011642",
            "telephone_number": "410-328-8025",
            "fax_number": "410-328-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981150 NEBRASKA MEDICAL CTR",
            "address_2": "SECTION OF EMERGENCY MEDICINE ACADEMIC OFFICES",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681981150",
            "telephone_number": "404-559-6802",
            "fax_number": "402-559-9659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRINIVASAN",
        "first_name": "RAJAGOPAL",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NE",
            "license": "4977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.