Individual provider Active NPI

Pradeep Rajagopalan, MD

  • Diagnostic Radiology Physician
  • Charlottesville, VA
National Provider Identifier
1750354262
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101226799 Issued in VA
Practice address
500 Martha Jefferson Dr
Charlottesville Radiology
Charlottesville, VA 22911-4668
Phone
(434) 244-4580
Fax
(434) 244-4579
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 0101226799 VA
Diagnostic Radiology Physician 2085R0202X 0101226799 VA Primary

Addresses

Primary practice location

500 Martha Jefferson Dr
Charlottesville Radiology
Charlottesville, VA 22911-4668

Mailing address

PO Box 197
State College, PA 16804-0197

Other identifiers 2

IdentifierTypeStateIssuer
007225601MedicaidVA
300118833OtherVARRMED

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address prajagopalan246205@direct.sentara.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20100513000092 VA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 2466340708 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Duke University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charlottesville Radiology LTDGroup PAC ID 1557259959, 10 clinicians
Augusta Medical GroupGroup PAC ID 3678632544, 409 clinicians

Practice addresses (Care Compare)

500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Phone (434) 654-7106

78 Medical Ctr Dr
Fishersville, VA 22939-2332
Phone (540) 245-7080

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101226799VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bath County Community Hospital CurrentSince Jul 1, 2022 Accepting new patients
Sentara Advanced Imaging Solutions, LLC Diagnostic Radiology CurrentSince Nov 14, 2022 Accepting new patients
Charlottesville Radiology LTD Diagnostic Radiology CurrentSince Jan 1, 1999 Accepting new patients
Augusta Health Care, Inc CurrentSince Jan 16, 2023 Accepting new patients
Augusta Medical Group CurrentSince Feb 18, 2020 Accepting new patients
Augusta Medical Group CurrentSince Feb 18, 2020 Accepting new patients
Augusta Health Care, Inc. Diagnostic Radiology CurrentSince Jan 16, 2023 Accepting new patients
Allegheny Clinic Radiology Diagnostic Radiology Past Accepting new patients
Radiology Physicians Inc Diagnostic Radiology Past Accepting new patients

Locations

595 Martha Jefferson Dr
Charlottesville, VA 22911
Phone (434) 293-4995

435 Merchant Walk Sq
Ste 400
Charlottesville, VA 22902
Phone (434) 654-1800

3263 Proffit Rd
Charlottesvle, VA 22911
Phone (434) 654-4650

920 E High St
Ste 1
Charlottesvle, VA 22902
Phone (434) 654-1980

500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000

23 North Campus Dr
Ste 101
Fishersville, VA 22939
Phone (540) 332-4400

53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687

78 Medical Center Dr
Fishersville, VA 22939
Phone (540) 245-7216

78 Medical Center Dr
Fl 1
Fishersville, VA 22939

29 Jefferson Ct
Zion Crossroads, VA 22942
Phone (434) 654-8900

Interoperability endpoints

  • Direct secure messaging: prajagopalan246205@direct.sentara.net
  • FHIR API: https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4

Organizations & group practices 9

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 5

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1750354262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 197",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168040197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MARTHA JEFFERSON DR",
            "address_2": "CHARLOTTESVILLE RADIOLOGY",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229114668",
            "telephone_number": "434-244-4580",
            "fax_number": "434-244-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJAGOPALAN",
        "first_name": "PRADEEP",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101226799",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101226799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007225601",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMED",
            "identifier": "300118833",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "prajagopalan246205@direct.sentara.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "500 Martha Jefferson Dr",
            "address_2": "Charlottesville Radiology",
            "city": "Charlottesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229114668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.