Active NPI
Rangadham Nagarakanti, MD
- Clinical Cardiac Electrophysiology Physician
- Cottonwood, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 67092
- Practice address
- 269 S Candy LN
Cottonwood, AZ 86326-4158 - Phone
- (928) 634-1331
- NPI assigned
- Jan 12, 2007
- Last updated
- Mar 24, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 48585 | KY | |
| Internal Medicine Physician | 207R00000X | MD424922 | PA | |
| Cardiovascular Disease Physician | 207RC0000X | 25MA08495300 | NJ | |
| Cardiovascular Disease Physician | 207RC0000X | MD202854 | LA | |
| Cardiovascular Disease Physician | 207RC0000X | 48585 | KY | |
| Cardiovascular Disease Physician | 207RC0000X | MD424922 | PA | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 67092 | AZ | Primary |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | R3562 | TX | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 48585 | KY |
Addresses
Primary practice location
269 S Candy LN
Cottonwood, AZ 86326-4158
Mailing address
1200 N Beaver St
Attn: Payer Credentialing
Flagstaff, AZ 86001-3118
Phone (928) 213-6235
Other practice location 1
1301 Pleasant Valley Rd
Suite 202
Owensboro, KY 42303-9774
Phone (270) 417-7500
Other practice location 2
2315 Myrtle St Ste 190
Erie, PA 16502-4604
Phone (814) 453-7767
Other practice location 3
636 Easton Ave
Somerset, NJ 08873-1975
Phone (732) 434-8975
Other practice location 4
707 E Marshall Ave
Longview, TX 75601-5545
Phone (903) 315-5400
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0301825 | Medicaid | NJ | |
| 153142 | Medicaid | AZ | |
| 201338570 | Medicaid | IN | |
| 1883182 | Medicaid | LA |
Other names 1
- Randy Nagarakanti
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, AZ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 779-3366
1215 N Beaver St
Suite 203
Flagstaff, AZ 86001-3126
Phone (928) 773-2249
2000 S Thompson St
Flagstaff, AZ 86001-8759
Phone (928) 226-6400
269 S Candy LN
Cottonwood, AZ 86326-4158
Phone (928) 639-6000
7810 N US Hwy 89
Flagstaff, AZ 86004-6255
Phone (928) 522-8375
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 26 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48585 | KY | MD | Cardiovascular Disease Physician |
| MD202854 | LA | MD | Cardiovascular Disease Physician |
| 25MA08495300 | NJ | MD | Cardiovascular Disease Physician |
| R3562 | TX | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Arizona Healthcare Corporation | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Multi-Specialty | Current | Accepting new patients |
| New Brunswick Cardiology Group, PA | Multi-Specialty | Current | Accepting new patients |
| Northern Arizona Healthcare Corporation | Multi-Specialty | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Saint Vincent Consultants in Cardiovascular Diseases | Multi-Specialty | Current | Accepting new patients |
| Cardiojost, PLLC | Multi-Specialty | Past | Accepting new patients |
| Community Hospital Group, Inc | Multi-Specialty | Past | Accepting new patients |
Locations
269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251
1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235
1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249
2000 S Thompson St
Flagstaff, AZ 86001
Phone (928) 213-1051
75 Veronica Ave
Ste 101
Somerset, NJ 08873
Phone (732) 247-5054
2315 Myrtle St
Ste 190
Erie, PA 16502
Phone (814) 453-7767
232 W 25th St
Erie, PA 16544
Phone (814) 452-5337
707 E Marshall Ave
Longview, TX 75601
Phone (903) 315-4880
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- rnagarakanti15051@epicdirect.rwjbh.org
- rnagarakanti646412@direct.honorhealth.com
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Flagstaff, AZ
- NPI 1669914552
Multi-Specialty
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
Multi-Specialty
-
- Cardiovascular Disease Physician
- Erie, PA
- NPI 1902114911
Multi-Specialty
-
dba Northern Arizona Healthcare Children's Health Center
- Multi-Specialty Clinic/Center
- Flagstaff, AZ
- NPI 1235732702
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Cardiovascular Disease Physician
- Somerset, NJ
- NPI 1558381319
Multi-Specialty
-
dba Southwest Cardiovascular Associates
- Cardiovascular Disease Physician
- Mesa, AZ
- NPI 1023122843
Multi-Specialty
-
dba JFK MRMC Assistant Surgeons
- Specialist
- Edison, NJ
- NPI 1427278258
Multi-Specialty
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Guardian Medical Transport
- Land Ambulance
- Flagstaff, AZ
- NPI 1518143205
Hospital
-
dba FMC Behavioral Health Services
- Psychiatric Hospital Unit
- Flagstaff, AZ
- NPI 1649370875
-
- General Acute Care Hospital
- Flagstaff, AZ
- NPI 1780635078
-
- General Acute Care Hospital
- Cottonwood, AZ
- NPI 1346291648
-
dba Northern Arizona Healthcare - Sedona
- General Acute Care Hospital
- Sedona, AZ
- NPI 1538608716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679616000000",
"number": "1790836252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N BEAVER ST",
"address_2": "ATTN: PAYER CREDENTIALING",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860013118",
"telephone_number": "928-213-6235",
"fax_number": "928-213-6292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "269 S CANDY LN",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863264158",
"telephone_number": "928-634-1331"
}
],
"practiceLocations": [
{
"address_1": "1301 Pleasant Valley Rd",
"address_2": "Suite 202",
"address_purpose": "LOCATION",
"city": "Owensboro",
"state": "KY",
"postal_code": "423039774",
"country_code": "US",
"telephone_number": "270-417-7500",
"fax_number": "270-417-7509",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2315 Myrtle St Ste 190",
"address_purpose": "LOCATION",
"city": "Erie",
"state": "PA",
"postal_code": "165024604",
"country_code": "US",
"telephone_number": "814-453-7767",
"fax_number": "814-454-6667",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "636 Easton Ave",
"address_purpose": "LOCATION",
"city": "Somerset",
"state": "NJ",
"postal_code": "088731975",
"country_code": "US",
"telephone_number": "732-434-8975",
"fax_number": "732-876-0333",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "707 E Marshall Ave",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756015545",
"country_code": "US",
"telephone_number": "903-315-5400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAGARAKANTI",
"first_name": "RANGADHAM",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2023-03-24",
"certification_date": "2023-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "48585",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD424922",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "25MA08495300",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "LA",
"license": "MD202854",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KY",
"license": "48585",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD424922",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "AZ",
"license": "67092",
"primary": true
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "TX",
"license": "R3562",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "KY",
"license": "48585",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0301825",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "153142",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201338570",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1883182",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RANDY",
"last_name": "NAGARAKANTI",
"credential": "M.D",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cottonwood, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.