Individual provider Active NPI

Arun Rajagopal, M.D.

  • Interventional Pain Medicine Physician
  • Cottonwood Heights, UT
National Provider Identifier
1942230602
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
5376639-1205 Issued in UT
Practice address
6750 S Highland Drive
Suite 100
Cottonwood Heights, UT 84121
Phone
(801) 685-7246
NPI assigned
Jul 5, 2006
Last updated
Aug 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 5376639-1205 UT Primary

Addresses

Primary practice location

6750 S Highland Drive
Suite 100
Cottonwood Heights, UT 84121

Mailing address

6750 S Highland Drive
Suite 100
Cottonwood Heights, UT 84121
Phone (801) 685-7246

Other identifiers 1

IdentifierTypeStateIssuer
D5367MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040310000501 UT Practitioner - Interventional Pain Management 5597653576 Reassigns benefits to 1 organization
I20200916002728 HI Practitioner - Interventional Pain Management 5597653576 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Queens North Hawaii Community Hospital CurrentSince Oct 1, 2020 Accepting new patients
North Hawaii Community Hospital, Inc. CurrentSince Oct 1, 2020 Accepting new patients
Spine Care Center, LLC Interventional Pain Medicine CurrentSince Sep 18, 2006 Accepting new patients
Millcreek Anesthesia PC Past Accepting new patients
Queens North Hawaii Community Hospital Interventional Pain Medicine Past Accepting new patients

Locations

67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400

6750 S Highland Dr
Ste 100
Salt Lake Cty, UT 84121
Phone (801) 685-7246

6321 S Redwood Rd
Ste 102
Taylorsville, UT 84123
Phone (801) 685-7246

Organizations & group practices 5

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470960000000",
    "number": "1942230602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 S HIGHLAND DRIVE",
            "address_2": "SUITE 100",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "84121",
            "telephone_number": "801-685-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 S HIGHLAND DRIVE",
            "address_2": "SUITE 100",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "84121",
            "telephone_number": "801-685-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJAGOPAL",
        "first_name": "ARUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2016-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "UT",
            "license": "5376639-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D5367",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood Heights, UT

Sources for this page

Verify at the official NPI Registry.