Individual provider Active NPI

Rajapillai K Bharathan, MD PC

  • Internal Medicine Physician
  • Roanoke, VA
National Provider Identifier
1972555100
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101056729 Issued in VA
Practice address
424 Elm Ave SW
Raj K Bharathan MD
Roanoke, VA 24016-3920
Phone
(540) 265-4850
Fax
(540) 265-4852
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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 0101056729 VA Primary

Addresses

Primary practice location

424 Elm Ave SW
Raj K Bharathan MD
Roanoke, VA 24016-3920

Mailing address

424 Elm Ave SW
Raj K Bharathan MD
Roanoke, VA 24016-3920
Phone (540) 265-4850

Other identifiers 3

IdentifierTypeStateIssuer
005816645MedicaidVA
110176196OtherMCRR
324728OtherANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20041206000492 VA Practitioner - Internal Medicine 4981660560 Reassigns benefits to 1 organization
Practice locations: Roanoke, VA

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Spring Physician Services, LLC CurrentSince Jun 27, 2018 Accepting new patients
The Doctors Office, PC Past Accepting new patients
Rajapillai K Bharathan MD PC Internal Medicine PastSince Sep 7, 1998 Accepting new patients

Locations

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1972555100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 ELM AVE SW",
            "address_2": "RAJ K BHARATHAN MD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240163920",
            "telephone_number": "540-265-4850",
            "fax_number": "540-265-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 ELM AVE SW",
            "address_2": "RAJ K BHARATHAN MD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240163920",
            "telephone_number": "540-265-4850",
            "fax_number": "540-265-4852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHARATHAN",
        "first_name": "RAJAPILLAI",
        "middle_name": "K",
        "credential": "MD PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101056729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005816645",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCRR",
            "identifier": "110176196",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "324728",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.