NPIMap

Individual provider Active NPI

Viswanathan Rajagopalan, M.B.B.S

  • Surgery Physician
  • Livonia, MI
National Provider Identifier
1760626436
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301510983 Issued in MI
Practice address
14290 Knolson St
Livonia, MI 48154-4759
Phone
(914) 563-2729
NPI assigned
Apr 27, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X MD2017-0836 NM
Surgical Critical Care Physician 2086S0102X 254620 NY
Surgical Critical Care Physician 2086S0102X MD417803 PA
Surgical Critical Care Physician 2086S0102X 4301510983 MI
Surgical Critical Care Physician 2086S0102X 01079763A IN
Trauma Surgery Physician 2086S0127X MD2017-0836 NM
Trauma Surgery Physician 2086S0127X 254620 NY
Trauma Surgery Physician 2086S0127X MD417803 PA
Trauma Surgery Physician 2086S0127X 4301510983 MI
Trauma Surgery Physician 2086S0127X 01079763A IN
Surgery Physician 208600000X 4301510983 MI Primary
Surgery Physician 208600000X MD2017-0836 NM
Surgery Physician 208600000X 254620-1 NY
Surgery Physician 208600000X MD417803 PA
Surgery Physician 208600000X 01079763A IN

Addresses

Primary practice location

14290 Knolson St
Livonia, MI 48154-4759

Mailing address

14290 Knolson St
Livonia, MI 48154-4759
Phone (914) 563-2729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301510983MIMDSurgery Physician
MD2017-0836NMMDSurgery Physician
254620-1NYMDSurgery Physician
MD417803PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Philadelphia Health & Education Corporation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vrajagopalan99729@direct-guthrie.org

Organizations & group practices 1

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": "1240790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1760626436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14290 KNOLSON ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481544759",
            "telephone_number": "914-563-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14290 KNOLSON ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481544759",
            "telephone_number": "914-563-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJAGOPALAN",
        "first_name": "VISWANATHAN",
        "name_prefix": "Dr.",
        "credential": "M.B.B.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-27",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NM",
            "license": "MD2017-0836",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NY",
            "license": "254620",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "PA",
            "license": "MD417803",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MI",
            "license": "4301510983",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "IN",
            "license": "01079763A",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "NM",
            "license": "MD2017-0836",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "NY",
            "license": "254620",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "PA",
            "license": "MD417803",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "MI",
            "license": "4301510983",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "IN",
            "license": "01079763A",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301510983",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "MD2017-0836",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "254620-1",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD417803",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01079763A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.