Rajiv Rajagopal, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

7756 Issued in OR

Practice address

1625 E McAndrews Rd # a
Medford, OR 97504-5334

Phone

(541) 779-3781

Fax

(541) 779-6523

NPI assigned

Dec 10, 2007

Last updated

Dec 10, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Aug 16, 2017 through Aug 16, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Associates for Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Medford, OR
  • NPI 1184625980
  NPD (past)

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1760665046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 E MCANDREWS RD # A",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045334",
            "telephone_number": "541-779-3781",
            "fax_number": "541-779-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 E MCANDREWS RD # A",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045334",
            "telephone_number": "541-779-3781",
            "fax_number": "541-779-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJAGOPAL",
        "first_name": "RAJIV",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OR",
            "license": "7756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "233335",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Radiation Oncology Group Consultants, PC
• Jason L Raehl, PA
• Mary Rafka
• Roya Rahnamayi, D.D.S.
• Chelsea M Raines, MPH
• Kruthiga Rajasekaran
• Leslie Ramage, LCSW
• Victor Ramirez Hernadez
• Vanessa Ramirez-Villa, RDH
• Carolina Ramirez, RDH

• Oral and Maxillofacial Surgery (Dentist) in Medford, OR
• Providers in Medford, OR by specialty
• Oral and Maxillofacial Surgery (Dentist) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.