NPIMap

Individual provider Active NPI

Rangaraj Karuppiah Gopalraj, M.B.B.S., M. D.

  • Family Medicine Physician
  • Louisville, KY
National Provider Identifier
1902072820
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41956 Issued in KY
Practice address
1930 Bishop LN Ste 1600
Louisville, KY 40218-1948
Phone
(502) 272-5044
Fax
(502) 272-5121
NPI assigned
Apr 30, 2008
Last updated
Jan 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 41954 KY
Family Medicine Physician 207Q00000X 41956 KY Primary

Addresses

Primary practice location

1930 Bishop LN Ste 1600
Louisville, KY 40218-1948

Mailing address

501 E Broadway Ste 290
Louisville, KY 40202-2040
Phone (502) 217-8221

Other identifiers 2

IdentifierTypeStateIssuer
7100123130MedicaidKY
200988040MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rgopalraj183020@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100713000581 KY Practitioner - Geriatric MedicinePractitioner - Family Practice 2769514629 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians
Mandm Medical Clinics LLCGroup PAC ID 5698039097, 3 clinicians

Practice addresses (Care Compare)

1930 Bishop LN
Suite 1600
Louisville, KY 40218-1948
Phone (502) 272-5044

240 Masonic Home Dr
Masonic Home, KY 40041-9000
Phone (502) 873-2356

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41956KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Dec 7, 2011 Accepting new patients
University of Louisville Physicians, Inc. Family Medicine Current Accepting new patients
M&M Medical Clinics LLC CurrentSince May 23, 2018 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Dec 7, 2011 Accepting new patients
Community Medical Associates, Inc. CurrentSince Aug 31, 2019 Accepting new patients
Community Medical Associates, Inc. CurrentSince Aug 31, 2019 Accepting new patients
Trilogy Healthcare of Louisville Southwest, LLC Past Accepting new patients
Community Medical Associates, Inc. Family Medicine Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

1930 Bishop Ln
Ste 1600
Louisville, KY 40218
Phone (502) 272-5034

1941 Bishop Ln
Ste 900
Louisville, KY 40218
Phone (502) 588-2500

215 Central Ave
Ste 100
Louisville, KY 40208
Phone (502) 588-8720

215 Central Ave
Ste 102
Louisville, KY 40208
Phone (502) 588-8720

501 E Broadway
Ste 290
Louisville, KY 40202
Phone (502) 217-5134

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

550 S Jackson St
Fl 1
Louisville, KY 40202
Phone (502) 552-6503

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

240 Masonic Home Dr
Masonic Home, KY 40041
Phone (502) 873-2356

240 Masonic Home Dr
Ste 300
Masonic Home, KY 40041

Organizations & group practices 9

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 8

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": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1902072820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E BROADWAY STE 290",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022040",
            "telephone_number": "502-217-8221",
            "fax_number": "502-217-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 BISHOP LN STE 1600",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181948",
            "telephone_number": "502-272-5044",
            "fax_number": "502-272-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOPALRAJ",
        "first_name": "RANGARAJ",
        "middle_name": "KARUPPIAH",
        "credential": "M.B.B.S., M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-30",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "KY",
            "license": "41954",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "41956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100123130",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200988040",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgopalraj183020@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "1930 Bishop Ln Ste 1600",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402181948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "1930 Bishop Ln Ste 1600",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402181948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.