DRISTHI S RAGOONANAN M.D/M.B.B.S
NPI 1831573005
Pediatrics - Pediatric Hematology-Oncology in Las Vegas, NV

NPI Status: Active since July 16, 2015

Contact Information

1 BREAKTHROUGH WAY
LAS VEGAS, NV
ZIP 89135
Phone: (702) 732-1493
Fax: (702) 732-1080

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  • Individual
  • Female
  • Years of Experience 16
  • Pediatrics
  • Pediatric Hematology-Oncology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About DRISTHI RAGOONANAN

This page provides the complete NPI Profile along with additional information for Dristhi Ragoonanan, a pediatrician established in Las Vegas, Nevada with a medical specialization in Pediatrics, focusing in pediatric hematology-oncology and more than 16 years of experience. The healthcare provider is registered in the NPI registry with number 1831573005 assigned on July 2015. The practitioner's primary taxonomy code is 2080P0207X with license number 26156 (NV). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1831573005
Provider Name
DRISTHI S RAGOONANAN M.D/M.B.B.S
Gender
Female
Entity Type
Individual
Location Address
1 BREAKTHROUGH WAY LAS VEGAS, NV 89135
Location Phone
(702) 732-1493
Location Fax
(702) 732-1080
Mailing Address
10170 W TROPICANA AVE # 156-252 LAS VEGAS, NV 89147
Mailing Phone
(702) 732-1493
Mailing Fax
(702) 732-1080
Medical School Name
OTHER
Graduation Year
2010
Is Sole Proprietor?
No
Enumeration Date
07-16-2015
Last Update Date
08-27-2024
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A pediatrician like Dristhi Ragoonanan is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Pediatric Hematology-Oncology

Taxonomy Code
2080P0207X
Type
Allopathic & Osteopathic Physicians
License No.
26156
License State
NV
Taxonomy Description
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12080P0207XAllopathic & Osteopathic Physicians

Pediatrics
Pediatric Hematology-Oncology

T7010 (TX)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits - EPO
  • Bronze Simple Chronic Care CKM - EPO
  • Bronze Simple Diabetes - EPO
  • Gold Classic - EPO
  • Gold Classic Guided Care - HMO
  • Gold Classic Standard - EPO
  • Gold Classic Standard Guided Care - HMO
  • Gold Elite - EPO
  • Gold Simple Diabetes Guided Care - HMO
  • Gold Simple Guided Care - HMO
  • Silver Classic - EPO
  • Silver Classic Standard - EPO
  • Silver Classic Standard Guided Care - HMO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits Guided Care - HMO
  • Silver Simple Chronic Care CKM Guided Care - HMO
  • Silver Simple Diabetes Guided Care - HMO
  • Silver Simple Guided Care - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Dristhi Ragoonanan is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Dristhi Ragoonanan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6901288406

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240926001492

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for DRISTHI S RAGOONANAN M.D/M.B.B.S

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1831573005, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
3
Doubled → 6
Pos 4
1
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
7
Unchanged
Pos 7
3
Doubled → 6
Pos 8
0
Unchanged
Pos 9
0
Doubled → 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 5 → 10 → 1 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 6 + 1 + 1 + 0 + 7 + 6 + 0 + 0 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1831573005.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Hematology & Oncology)
1 BREAKTHROUGH WAY
LAS VEGAS, NV 89135
Pharmacist (Oncology)
1 BREAKTHROUGH WAY
LAS VEGAS, NV 89135
Clinic/Center (Radiology)
1 BREAKTHROUGH WAY
LAS VEGAS, NV 89135
Internal Medicine (Hematology & Oncology)
1 BREAKTHROUGH WAY
LAS VEGAS, NV 89135
Pharmacist
1 BREAKTHROUGH WAY
LAS VEGAS, NV 89135
Internal Medicine (Medical Oncology)
1 BREAKTHROUGH WAY
LAS VEGAS, NV 89135
Internal Medicine (Hematology & Oncology)
1 BREAKTHROUGH WAY, 10441 W. TWAIN AVENUE
LAS VEGAS, NV 89135
Pediatrics (Pediatric Hematology-Oncology)
1 BREAKTHROUGH WAY
LAS VEGAS, NV 89135
Pediatrics (Pediatric Hematology-Oncology)
1 BREAKTHROUGH WAY
LAS VEGAS, NV 89135
Clinical Neuropsychologist
1 BREAKTHROUGH WAY
LAS VEGAS, NV 89135
Pediatrics (Pediatric Hematology-Oncology)
1 BREAKTHROUGH WAY
LAS VEGAS, NV 89135
Nurse Practitioner
1 BREAKTHROUGH WAY
LAS VEGAS, NV 89135
Pediatrics (Pediatric Hematology-Oncology)
1 BREAKTHROUGH WAY
LAS VEGAS, NV 89135
Nurse Practitioner (Pediatrics)
1 BREAKTHROUGH WAY
LAS VEGAS, NV 89135
Pediatrics (Pediatric Hematology-Oncology)
1 BREAKTHROUGH WAY
LAS VEGAS, NV 89135
Physical Therapist
1 BREAKTHROUGH WAY
LAS VEGAS, NV 89135
Nurse Practitioner (Family)
1 BREAKTHROUGH WAY
LAS VEGAS, NV 89135
Counselor (Addiction (Substance Use Disorder))
1 BREAKTHROUGH WAY
LAS VEGAS, NV 89135
Pediatrics (Pediatric Hematology-Oncology)
1 BREAKTHROUGH WAY
LAS VEGAS, NV 89135
Local Education Agency (LEA)
1 BREAKTHROUGH WAY, BLDG 3218
LAS VEGAS, NV 89135

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831573005, enumerated as an "individual" on July 16, 2015.

The provider is located at 1 BREAKTHROUGH WAY LAS VEGAS, NV 89135 and the phone number is (702) 732-1493.

Pediatrics with taxonomy code 2080P0207X and a focus in Pediatric Hematology-Oncology.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health and Oscar. Please consult your insurance carrier or call the provider to verify.