Individual provider Active NPI

Kumar Rajagopalan, MD

  • Pulmonary Disease Physician
  • Sunrise, FL
National Provider Identifier
1841267796
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME 50454 Issued in FL
Practice address
3505 NW 84TH Ave
Sunrise, FL 33351-6607
Phone
(954) 906-0204
Fax
(954) 289-3902
NPI assigned
Feb 28, 2006
Last updated
Oct 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME 50454 FL Primary

Addresses

Primary practice location

3505 NW 84TH Ave
Sunrise, FL 33351-6607

Mailing address

10006 Rosewood St
Parkland, FL 33076-3938
Phone (954) 899-6739

Other identifiers 1

IdentifierTypeStateIssuer
045636500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050901000176 FL Practitioner - Internal MedicinePractitioner - Pulmonary Disease 1850323676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3505 NW 84TH Ave
Sunrise, FL 33351-6607
Phone (954) 906-0204

7201 N University Dr
University Hospital
Tamarac, FL 33321-2913
Phone (954) 721-2200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 50454FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Internal Medicine Group Inc Pulmonary Disease CurrentSince Apr 16, 2013 Accepting new patients
Florida Institute of Health LTD LLLP Past Accepting new patients
Florida Institute of Hospitalists Inc PastSince Sep 1, 2006 Accepting new patients
Travel Medicine and Infections Inc Pulmonary Disease Past Accepting new patients

Locations

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834

2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041

3505 NW 84th Ave
Sunrise, FL 33351
Phone (954) 253-6738

Interoperability endpoints

  • Direct secure messaging: kumar.rajagopalan.1@13370.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1841267796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10006 ROSEWOOD ST",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330763938",
            "telephone_number": "954-899-6739",
            "fax_number": "954-227-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 NW 84TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516607",
            "telephone_number": "954-906-0204",
            "fax_number": "954-289-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJAGOPALAN",
        "first_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME 50454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045636500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.