Individual provider Active NPI

Rohini Ragupathi

  • Internal Medicine Physician
  • College Station, TX
National Provider Identifier
1922060326
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H2166 Issued in TX
Practice address
1602 Rock Prairie Rd
Ste. 2400
College Station, TX 77845
Phone
(979) 693-1795
NPI assigned
Apr 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X H2166 TX Primary

Addresses

Primary practice location

1602 Rock Prairie Rd
Ste. 2400
College Station, TX 77845

Mailing address

1730 Birmingham Dr Ste 100
College Station, TX 77845-4063
Phone (979) 693-1795

Other identifiers 2

IdentifierTypeStateIssuer
114464405MedicaidTX
8F5802OtherTXBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100217000626 TX Practitioner - Internal Medicine 1658415476 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H2166TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc CurrentSince Mar 1, 2002 Accepting new patients
Regional Employee Assistance Program Inc Internal Medicine Current Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Mar 1, 2002 Accepting new patients
Brazos Valley Community Action Agency Inc Past Accepting new patients

Locations

2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777

2804 Lake Rd
Ste 5
Huntsville, TX 77340
Phone (979) 696-2422

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.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1922060326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 BIRMINGHAM DR STE 100",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454063",
            "telephone_number": "979-693-1795",
            "fax_number": "979-694-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 ROCK PRAIRIE RD",
            "address_2": "STE. 2400",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "77845",
            "telephone_number": "979-693-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGUPATHI",
        "first_name": "ROHINI",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H2166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114464405",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8F5802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.