Individual provider Active NPI

Archana Ramgopal, DO

  • Pediatric Hematology & Oncology Physician
  • Pittsburgh, PA
National Provider Identifier
1750743753
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
OS020078 Issued in PA
Practice address
4401 Penn Avenue
Plaza Building Suite 404
Pittsburgh, PA 15224
Phone
(412) 692-6393
Fax
(412) 692-7693
NPI assigned
Mar 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0207X OS020078 PA Primary

Addresses

Primary practice location

4401 Penn Avenue
Plaza Building Suite 404
Pittsburgh, PA 15224

Mailing address

3600 Forbes Avenue
Forbes Tower - Plaza Level Suite 140
Pittsburgh, PA 15213
Phone (412) 519-4329

Other identifiers 1

IdentifierTypeStateIssuer
0174099MedicaidOH

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
I20220602003138 PA Practitioner - Pediatric Medicine 6901190032 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS020078PAMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Single Specialty Current Accepting new patients
University of Pittsburgh Physicians Single Specialty CurrentSince Jul 1, 2022 Accepting new patients
University of Pittsburgh Physicians Single Specialty CurrentSince Jul 1, 2022 Accepting new patients
Upmc Emergency Medicine Inc Single Specialty Past Accepting new patients
Upmc Children'S Hospital of Pittsburgh Past Accepting new patients

Locations

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

3600 Forbes Ave
Ste 140
Pittsburgh, PA 15213

4401 Penn Ave
Ste 404
Pittsburgh, PA 15224
Phone (412) 692-6393

4401 Penn Ave
Fl 9
Pittsburgh, PA 15224
Phone (412) 692-5055

4401 Penn Ave
Fl 3
Pittsburgh, PA 15224
Phone (412) 692-5135

519 Penn Ave
Ste 206
Turtle Creek, PA 15145
Phone (412) 823-3121

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.

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1750743753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 FORBES AVENUE",
            "address_2": "FORBES TOWER - PLAZA LEVEL SUITE 140",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15213",
            "telephone_number": "412-519-4329",
            "fax_number": "216-445-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 PENN AVENUE",
            "address_2": "PLAZA BUILDING SUITE 404",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15224",
            "telephone_number": "412-692-6393",
            "fax_number": "412-692-7693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMGOPAL",
        "first_name": "ARCHANA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "PA",
            "license": "OS020078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0174099",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.