DR. RAJAGANESH RAJAGOPALAN MD
NPI 1669967147
Internal Medicine - Pulmonary Disease in Sioux Falls, SD

Active since June 26, 2018PECOS EnrolledAccepts Medicare Assignment
1325 S CLIFF AVE, SIOUX FALLS, SD 57105(605) 322-7663(605) 322-7901 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2024, Jun 26, 2018 (2 updates tracked since 2018).

About Dr. Rajaganesh Rajagopalan Md NPPES

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

DR. RAJAGANESH RAJAGOPALAN MD (NPI 1669967147) is an individual pulmonary disease provider in Sioux Falls, South Dakota, licensed in South Dakota (15469) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Spencer Municipal Hospital, and maintains a secondary practice location in Sioux Falls.

NPPES Registry Identity

NPI1669967147
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. RAJAGANESH RAJAGOPALANCredential: MD
Location Address1325 S CLIFF AVESioux Falls, SD 57105-1007
Mailing Address1301 S Cliff Ave Ste 601Sioux Falls, SD 57105-1032 · (605) 322-6938 · Fax (605) 322-6931
Fax(605) 322-7901
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJune 26, 2018
Last NPPES UpdateAugust 5, 20242 updates tracked since enumeration
NPPES CertifiedJuly 30, 2021
NPI 1669967147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in SD · 15469
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1325 S CLIFF AVE, Sioux Falls, SD 57105

Secondary Practice Location 1

Location 11301 S Cliff AveSioux Falls, SD 57105-1005 · Phone (605) 322-6938 · Fax (605) 322-6931

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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. Rajaganesh Rajagopalan 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 ID1052663812
PECOS Enrollment IDI20240912003062
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 8

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.

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.
55 services28 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
52 services52 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
51 services50 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
47 services47 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
47 services47 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.
29 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Spencer Municipal Hospital

Acute Care Hospitals · Spencer, IA
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160112
Location1200 1st Avenue EastSpencer, IA 51301 · Clay County
Emergency services Birthing friendly

Avera Marshall Regional Medical Ctr

Critical Access Hospitals · Marshall, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number241359
Location300 South Bruce StreetMarshall, MN 56258 · Lyon County
Emergency services

Avera St Mary's Hospital

Acute Care Hospitals · Pierre, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430015
Location801 E SiouxPierre, SD 57501 · Hughes County
Emergency services Birthing friendly

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Avera Heart Hospital Of South Dakota

Acute Care Hospitals · Sioux Falls, SD
5/5 CMS rating
OwnershipProprietary
CMS Certification Number430095
Location4500 W 69th StSioux Falls, SD 57108 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$13.35 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$64.37 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.

Hospitalist
1325 S CLIFF AVE, SUITE 4421
SIOUX FALLS, SD 57105
Physical Therapist
1325 S CLIFF AVE
SIOUX FALLS, SD 57105
Orthopaedic Surgery (Orthopaedic Trauma)
1325 S CLIFF AVE
SIOUX FALLS, SD 57105
Nurse Anesthetist, Certified Registered
1325 S CLIFF AVE
SIOUX FALLS, SD 57105
Radiology (Diagnostic Radiology)
1325 S CLIFF AVE
SIOUX FALLS, SD 57105
Internal Medicine
1325 S CLIFF AVE
SIOUX FALLS, SD 57105
Physical Therapist
1325 S CLIFF AVE
SIOUX FALLS, SD 57105
Hospitalist
1325 S CLIFF AVE
SIOUX FALLS, SD 57105

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 Rajaganesh Rajagopalan's NPI number?

The NPI number for Rajaganesh Rajagopalan is 1669967147. It was assigned to this individual provider in the NPPES registry on June 26, 2018.

Where is Rajaganesh Rajagopalan located?

Rajaganesh Rajagopalan practices at 1325 S Cliff Ave, Sioux Falls, SD 57105. The listed phone number is (605) 322-7663.

What is Rajaganesh Rajagopalan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Rajaganesh Rajagopalan enrolled in Medicare?

Yes. Rajaganesh Rajagopalan 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 Rajaganesh Rajagopalan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 1 other insurer list Rajaganesh Rajagopalan 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 Rajaganesh Rajagopalan affiliated with any hospitals?

According to CMS data, Rajaganesh Rajagopalan is affiliated with Spencer Municipal Hospital, Avera Marshall Regional Medical Ctr, Avera St Mary's Hospital, Avera Mckennan Hospital & University Health Center and Avera Heart Hospital Of South Dakota.

When was this NPI record last updated?

The NPPES record for Rajaganesh Rajagopalan was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.