DR. RANGARAJAN PURUSHOTHAMAN
NPI 1114587623
Radiology - Diagnostic Radiology in Little Rock, AR
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 Little Rock, Arkansas, licensed in Arkansas (E-17197) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Stillwater Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
10Medicare enrollment records show Rangarajan Purushothaman reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Little Rock, AR 72205
- Reassigned Medicare billing, Arkansas enrollment
- 2,038 clinicians in this Medicare group
Russellville, AR 72801
- Reassigned Medicare billing, Arkansas enrollment
- 33 clinicians in this Medicare group
Batesville, AR 72501
- Reassigned Medicare billing, Arkansas enrollment
- 34 clinicians in this Medicare group
Fort Smith, AR 72908
- Reassigned Medicare billing, Arkansas and Oklahoma enrollments
- 33 clinicians in this Medicare group
Fort Smith, AR 72908
- Reassigned Medicare billing, Arkansas enrollment
- 48 clinicians in this Medicare group
Lufkin, TX 75904
- Reassigned Medicare billing, Texas enrollment
- 151 clinicians in this Medicare group
Cartersville, GA 30121
- Reassigned Medicare billing, Tennessee enrollment
- 4 clinicians in this Medicare group
Jeffersonville, IN 47130
- Reassigned Medicare billing, Tennessee enrollment
- 2 clinicians in this Medicare group
Rogersville, TN 37857
- Reassigned Medicare billing, Tennessee enrollment
- 496 clinicians in this Medicare group
Bristol, TN 37620
- Reassigned Medicare billing, Tennessee and Virginia enrollments
- Medicare enrollment name: Blue Ridge Radiology PC
- 89 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Stillwater Medical Center
Acute Care Hospitals · Stillwater, OKJohnson City Medical Center
Acute Care Hospitals · Johnson City, TNJohnston Memorial Hospital
Acute Care Hospitals · Abingdon, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
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 4301 W Markham St # 556, Little Rock, AR 72205. The listed phone number is (501) 686-8000.
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.
Which organizations bill Medicare for Rangarajan Purushothaman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rangarajan Purushothaman reassigns Medicare benefits to 10 organizations: University Of Arkansas For Medical Sciences (Little Rock, AR), Radiologists Of Russellville PA (Russellville, AR), North Arkansas Radiology (Batesville, AR), Clear View Radiology, PLLC (Fort Smith, AR), Radiologists PA (Fort Smith, AR) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rangarajan Purushothaman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rangarajan Purushothaman accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 7 other insurers 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, Johnson City Medical Center and Johnston Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Rangarajan Purushothaman was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Rangarajan Purushothaman · NPI 1114587623
Diagnostic Radiology physician in Little Rock, Arkansas. Individual provider, active in the CMS NPPES registry since June 17, 2019.
## Identity
- **NPI:** 1114587623 (Entity type: Individual)
- **Enumerated:** June 17, 2019
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** E-17197 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4301 W MARKHAM ST # 556, Little Rock, AR 72205-7101
- **Phone:** (501) 686-8000 · **Fax:** (501) 526-5148
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): University Of Arkansas For Medical Sciences (NPI 1043372220, Little Rock, AR); Radiologists Of Russellville PA (NPI 1699744326, Russellville, AR); North Arkansas Radiology (NPI 1598791261, Batesville, AR); Clear View Radiology, PLLC (NPI 1194590059, Fort Smith, AR); Radiologists PA (NPI 1780651117, Fort Smith, AR); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** August 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1114587623) · Data from the CMS NPPES public registry.