Active NPI
Raja Gopaldas, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 2018-00913
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLCHays Medical Center Inc
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 15 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDRH.0003096 | CO | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| 2018-00913 | NC | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Poudre Valley Medical Group, LLC | Surgery | Current | Accepting new patients |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Topeka Physician Group, LLC | Current | Accepting new patients | |
| Shawnee Mission Medical Center Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Topeka Physician Group, LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Carolinas Physicians Network Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Hays Medical Center, Inc | Current | Accepting new patients | |
| Hays Medical Center, Inc. | Current | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| Hays Medical Center, Inc. | Surgery | Current | 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) | Current | Accepting new patients |
| Portercare Adventist Health System | Current | 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
- 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.
-
- Obesity Medicine (Internal Medicine) Physician
- Marquette, MI
- NPI 1487902995
MI, Surgery
-
- Family Medicine Physician
- Merriam, KS
- NPI 1992735690
KS, Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- General Practice Physician
- Loveland, CO
- NPI 1366763260
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- General Acute Care Hospital
- Hays, KS
- NPI 1881697043
-
- Rural Health Clinic/Center
- Hays, KS
- NPI 1255308045
-
- Community Based Hospice Care Agency
- Hays, KS
- NPI 1568409183
-
- Rehabilitation Hospital Unit
- Hays, KS
- NPI 1760429385
-
- Durable Medical Equipment & Medical Supplies
- Hays, KS
- NPI 1962669002
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.