Kevin Ragothaman

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E5606 Issued in CA

Practice address

10353 Torre Ave Ste C
Cupertino, CA 95014-3217

Phone

(408) 358-6234

Fax

(202) 362-3330

NPI assigned

Apr 5, 2016

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

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Bay Area Foot Care, Inc

  • Foot & Ankle Surgery Podiatrist
  • San Francisco, CA
  • NPI 1508911892
  Medicare reassignment NPD
• Bay Area Foot Care Inc

  • Foot & Ankle Surgery Podiatrist
  • San Jose, CA
  • NPI 1649136490
  NPD

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1699138735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10353 TORRE AVE STE C",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143217",
            "telephone_number": "408-358-6234",
            "fax_number": "408-358-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10353 TORRE AVE STE C",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143217",
            "telephone_number": "408-358-6234",
            "fax_number": "202-362-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGOTHAMAN",
        "first_name": "KEVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-05",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E5606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Quance
• Quinn Orthopedic Physical Therapy
• Quinn Orthopedic Physical Therapy
• Imtiaz Lewis Qureshi, MD
• Jessica Erinne Raffetto-Martinez
• Lily Rahimi, LMFT
• Gita Raie, D.D.S.
• Jaishri Ramesh, M.D.
• Breana Alisha Ramos, DPT
• Carlo Vasquez Ramos, MS

• Podiatrist in Cupertino, CA
• Providers in Cupertino, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.