DR. RADHA S GOPALAN MD
NPI 1043280787
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Phoenix, AZ

Active since January 25, 2006PECOS EnrolledAccepts Medicare Assignment
88.44/100
CMS Quality Rating
1111 E MCDOWELL RD, PHOENIX, AZ 85006(602) 839-9300(602) 839-2720 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Radha S Gopalan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RADHA S GOPALAN MD (NPI 1043280787) is an individual advanced heart failure and transplant cardiology provider in Phoenix, Arizona, licensed in Arizona (37954) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1043280787
Entity TypeIndividualMale
Primary Taxonomy207RA0001X
Provider Legal NameDR. RADHA S GOPALANCredential: MD
Location Address1111 E MCDOWELL RDPhoenix, AZ 85006-2612
Mailing Address1111 E Mcdowell RdPhoenix, AZ 85006-2612 · (602) 839-9300 · Fax (602) 839-2720
Fax(602) 839-2720
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateJanuary 25, 2006
Last NPPES UpdateApril 25, 2025
NPPES CertifiedApril 25, 2025
NPI 1043280787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
License Licensed in AZ · 37954
Definition
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 37954 (AZ), 271514 (NY), MD065957L (PA)
Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X · License MD065957L (PA)
1111 E MCDOWELL RD, Phoenix, AZ 85006

Other Names 1

Professional Name (2)Dr. Selvaratnam Radhagopalan Md

Other Identifiers 5

Other232359401PA · Main Line Healthcare
OtherP00473343AZ · Railroad Medicare
Other86080015085054D001AZ · Tricare
Medicaid001855929PA
Medicaid307101AZ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Radha S Gopalan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799731576
PECOS Enrollment IDI20080226000747
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
145 services32 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
142 services34 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
73 services44 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
42 services16 patients
Insertion of tube in right heart chambers for measurement 93451
This procedure involves placing a small, flexible tube into the right side of your heart. It helps assess how your heart is functioning by measuring pressures within the heart chambers. It's a key tool in diagnosing certain heart conditions.
19 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85006 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40
Cost59.36

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
3 suppliers29 claims29 services$18.45 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
3 suppliers94 claims295 services$36.11 avg. paid by Medicare
Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient E0781
DME-Other DME · category DE000N
1 supplier11 claims11 services$210.37 avg. paid by Medicare
Injection, milrinone lactate, 5 mg J2260
Treatment-Injections and Infusions (nononcologic) · category RI026N
3 suppliers98 claims4,714 services$1.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Internal Medicine
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Psychiatry & Neurology (Neurology)
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Emergency Medicine
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Physician Assistant (Medical)
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Nurse Practitioner (Acute Care)
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Physician Assistant
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Pharmacist
1111 E MCDOWELL RD, BANNER GOOD SAMARITAN MEDICAL CENTER PHARMACY
PHOENIX, AZ 85006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Radha Gopalan's NPI number?

The NPI number for Radha Gopalan is 1043280787. It was assigned to this individual provider in the NPPES registry on January 25, 2006. The provider is also known as Dr. Selvaratnam Radhagopalan MD.

Where is Radha Gopalan located?

Radha Gopalan practices at 1111 E Mcdowell Rd, Phoenix, AZ 85006. The listed phone number is (602) 839-9300.

What is Radha Gopalan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Radha Gopalan enrolled in Medicare?

Yes. Radha Gopalan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Radha Gopalan accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Radha Gopalan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Radha Gopalan was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.