DR. RANGARAJAN PURUSHOTHAMAN
NPI 1114587623
Radiology - Diagnostic Radiology in Indianapolis, IN

Active since June 17, 2019PECOS EnrolledAccepts Medicare Assignment
550 UNIVERSITY BLVD RM 663, INDIANAPOLIS, IN 46202(317) 274-1866 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 9, 2025, Jul 23, 2024, Jun 17, 2019 (3 updates tracked since 2019).

About Dr. Rangarajan Purushothaman NPPES

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

DR. RANGARAJAN PURUSHOTHAMAN (NPI 1114587623) is an individual diagnostic radiology provider in Indianapolis, Indiana, licensed in Tennessee (74045) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Stillwater Medical Center, and maintains a secondary practice location in Johnson City.

NPPES Registry Identity

NPI1114587623
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. RANGARAJAN PURUSHOTHAMAN
Location Address550 UNIVERSITY BLVD RM 663Indianapolis, IN 46202-5149
Mailing Address3841 Gable Lane Dr Apt 537Indianapolis, IN 46228-3391 · (501) 301-4416
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJune 17, 2019
Last NPPES UpdateJune 9, 20253 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
NPI 1114587623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in TN · 74045
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

550 UNIVERSITY BLVD RM 663, Indianapolis, IN 46202

Secondary Practice Location 1

Location 1410 N State Of Franklin Rd Ste 135BJohnson City, TN 37604-6972 · Phone (423) 431-4866

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. Rangarajan Purushothaman 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 ID3173859923
PECOS Enrollment IDI20241031002197, I20250602000745, I20250730004300, I20250814001557, I20260420000792
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Stillwater Medical Center

Acute Care Hospitals · Stillwater, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370049
Location1323 West 6th StreetStillwater, OK 74076 · Payne County
Emergency services Birthing friendly

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

Radiology (Diagnostic Radiology)
550 UNIVERSITY BLVD RM 663
INDIANAPOLIS, IN 46202
Radiology (Diagnostic Radiology)
550 UNIVERSITY BLVD RM 663
INDIANAPOLIS, IN 46202
Radiology (Diagnostic Radiology)
550 UNIVERSITY BLVD RM 663
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
550 UNIVERSITY BLVD RM 663
INDIANAPOLIS, IN 46202
Radiology (Diagnostic Radiology)
550 UNIVERSITY BLVD RM 663
INDIANAPOLIS, IN 46202

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 Rangarajan Purushothaman's NPI number?

The NPI number for Rangarajan Purushothaman is 1114587623. It was assigned to this individual provider in the NPPES registry on June 17, 2019.

Where is Rangarajan Purushothaman located?

Rangarajan Purushothaman practices at 550 University Blvd Rm 663, Indianapolis, IN 46202. The listed phone number is (317) 274-1866.

What is Rangarajan Purushothaman's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Rangarajan Purushothaman enrolled in Medicare?

Yes. Rangarajan Purushothaman 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 Rangarajan Purushothaman accept?

Health plans from Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Health Advantage and Octave list Rangarajan Purushothaman 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.

Is Rangarajan Purushothaman affiliated with any hospitals?

According to CMS data, Rangarajan Purushothaman is affiliated with Stillwater Medical Center and Johnson City Medical Center.

When was this NPI record last updated?

The NPPES record for Rangarajan Purushothaman was last updated on June 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.