Individual provider Active NPI

Raja Gopaldas, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Colorado Springs, CO
National Provider Identifier
1982849451
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
2018-00913 Issued in NC
Practice address
1400 E Boulder St Ste 700
Colorado Springs, CO 80909-5533
Phone
(719) 364-3278
NPI assigned
Dec 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 77138 MN
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X CDRH.0003096 CO
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 2018-00913 NC Primary

Addresses

Primary practice location

1400 E Boulder St Ste 700
Colorado Springs, CO 80909-5533

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

1001 Blythe Blvd
STE 300 - Thoracic Surgery
Charlotte, NC 28203-5866
Phone (704) 373-0212

Other practice location 2

10650 Park Rd
Ste 220
Charlotte, NC 28210-8538
Phone (704) 667-3840

Other practice location 3

1900 Brunswick Ave
Charlotte, NC 28207-1822
Phone (704) 304-1110

Other practice location 4

1001 Blythe Blvd
Ste 300 - Cardiac Surgery
Charlotte, NC 28203-5866
Phone (704) 373-0212

Other practice location 5

400 E 3rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

Other practice location 6

1400 E Boulder St Ste 700
Colorado Springs, CO 80909-5533
Phone (719) 364-3278

Other practice location 7

1001 Blythe Blvd
STE 300- Adult Cardiology
Charlotte, NC 28203-5866
Phone (704) 373-0212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, KS, CO, WY4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20201119002892 MI Practitioner - Thoracic Surgery 7911031836 Reassigns benefits to 1 organization
I20230509002130 KS Practitioner - Thoracic Surgery 7911031836 Reassigns benefits to 3 organizations
I20240628000675 CO Practitioner - Thoracic Surgery 7911031836 Reassigns benefits to 1 organization
I20250128001074 WY Practitioner - Thoracic Surgery 7911031836

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLC 2,425 clinicians
Hays Medical Center Inc 188 clinicians

Practice addresses (Care Compare)

1400 E Boulder St
Suite 700 Uchmg Cardio/Cardiac Surg Col
Colorado Springs, CO 80909-5533
Phone (719) 635-7172

2220 Canterbury Dr
Hays, KS 67601-2370
Phone (785) 625-4699

Hospital & facility affiliations

  • Hays Medical Center Hospital, Hays, KS, CCN 170013

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)15
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CDRH.0003096COMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2018-00913NCMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Aug 1, 2018 Accepting new patients
Carolinas Physicians Network Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) Current Accepting new patients
Poudre Valley Medical Group, LLC Surgery CurrentSince Sep 18, 2024 Accepting new patients
Portercare Adventist Health System CurrentSince Mar 25, 2024 Accepting new patients
Topeka Physician Group, LLC CurrentSince Feb 1, 2024 Accepting new patients
Shawnee Mission Medical Center Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Nov 6, 2023 Accepting new patients
Topeka Physician Group, LLC CurrentSince Feb 1, 2024 Accepting new patients
Poudre Valley Medical Group, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Sep 18, 2024 Accepting new patients
Carolinas Physicians Network Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Aug 1, 2018 Accepting new patients
Hays Medical Center, Inc CurrentSince May 22, 2023 Accepting new patients
Hays Medical Center, Inc. Current Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Aug 9, 2023 Accepting new patients
Hays Medical Center, Inc. Surgery CurrentSince May 22, 2023 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
DLP Marquette Physician Practices Inc Surgery Current Accepting new patients
DLP Marquette Physician Practices Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Aug 9, 2023 Accepting new patients
Portercare Adventist Health System CurrentSince Mar 25, 2024 Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

1400 E Boulder St
Ste 700
Colorado Springs, CO 80909
Phone (719) 365-7172

950 E Harvard Ave
Ste 550
Denver, CO 80210
Phone (303) 269-2920

2500 Rocky Mountain Ave
Ste 360
Loveland, CO 80538
Phone (970) 221-5878

1600 N Grand Ave
Ste 500
Pueblo, CO 81003
Phone (719) 545-0663

1619 N Greenwood St
Ste 106
Pueblo, CO 81003
Phone (719) 595-7760

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

2220 Canterbury Dr
Hays, KS 67601
Phone (785) 623-5000

7315 E Frontage Rd
Ste 206
Merriam, KS 66204
Phone (913) 789-3938

9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100

1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

850 W Baraga Ave
Ste 20
Marquette, MI 49855
Phone (906) 449-3440

1001 Blythe Blvd
Ste 300
Charlotte, NC 28203

10650 Park Rd
Ste 220
Charlotte, NC 28210
Phone (704) 667-3840

1900 Brunswick Ave
Charlotte, NC 28207
Phone (704) 304-1110

990 Lee Ann Dr NE
Concord, NC 28025
Phone (704) 441-0272

134 Medical Park Rd
Ste 111
Mooresville, NC 28117
Phone (704) 801-9100

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

5050 Powderhouse Rd
Cheyenne, WY 82009
Phone (307) 634-1311

Interoperability endpoints

  • Direct secure messaging: rgopaldas98493@mymichiganhealth.midirect.net

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 1

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": "1228953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1982849451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E BOULDER ST STE 700",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095533",
            "telephone_number": "719-364-3278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Blythe Blvd",
            "address_2": "STE 300 - Thoracic Surgery",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282035866",
            "country_code": "US",
            "telephone_number": "704-373-0212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10650 Park Rd",
            "address_2": "Ste 220",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282108538",
            "country_code": "US",
            "telephone_number": "704-667-3840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Brunswick Ave",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282071822",
            "country_code": "US",
            "telephone_number": "704-304-1110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Blythe Blvd",
            "address_2": "Ste 300 - Cardiac Surgery",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282035866",
            "country_code": "US",
            "telephone_number": "704-373-0212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558051951",
            "country_code": "US",
            "telephone_number": "218-786-8364",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 E Boulder St Ste 700",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809095533",
            "country_code": "US",
            "telephone_number": "719-364-3278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Blythe Blvd",
            "address_2": "STE 300- Adult Cardiology",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282035866",
            "country_code": "US",
            "telephone_number": "704-373-0212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOPALDAS",
        "first_name": "RAJA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-11",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MN",
            "license": "77138",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CO",
            "license": "CDRH.0003096",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NC",
            "license": "2018-00913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.