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MYSORE R NAGARAJA,M.D.,INC
NPI 1851436687
Internal Medicine - Gastroenterology in Northridge, CA

Active since February 20, 2007
17075 DEVONSHIRE ST, SUITE 200, NORTHRIDGE, CA 91325(818) 363-3105(818) 363-6178 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mysore R Nagaraja,m.d.,inc NPPES

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

MYSORE R NAGARAJA,M.D.,INC (NPI 1851436687) is a healthcare organization registered as a gastroenterology in Northridge, California and active in the NPI registry since February 2007. The organization lists Mysore R Nagaraja, President, as its authorized official.

NPPES Registry Identity

NPI1851436687
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameMYSORE R NAGARAJA,M.D.,INC
Location Address17075 DEVONSHIRE ST, SUITE 200Northridge, CA 91325-1600
Mailing Address17075 Devonshire St, Suite 200Northridge, CA 91325-1600 · (818) 363-3105 · Fax (818) 363-6178
Phone(818) 363-3105
Fax(818) 363-6178
Organization SubpartNo
Authorized OfficialMysore R NagarajaPresident · (818) 363-3105
Enumeration DateFebruary 20, 2007
Last NPPES UpdateSeptember 15, 2023
NPPES CertifiedSeptember 15, 2023
✔ NPI 1851436687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CA · A25685
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
17075 DEVONSHIRE ST, Northridge, CA 91325
Open in Google Maps ↗

Other Identifiers 1

Medicaid00A256850CA

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mysore R Nagaraja,m.d.,inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mysore R Nagaraja,m.D.,inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mysore Nagaraja, M.D.
Gastroenterology
NPI 1760451298
811 E 11TH ST STE 208
Upland, CA 91786
(909) 982-2279
✔ PECOS✔ Accepts Medicare51 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mysore R Nagaraja,m.D.,inc's NPI number?

The NPI number for Mysore R Nagaraja,m.D.,inc is 1851436687. It was assigned to this organization in the NPPES registry on February 20, 2007.

Where is Mysore R Nagaraja,m.D.,inc located?

Mysore R Nagaraja,m.D.,inc is located at 17075 Devonshire St Suite 200, Northridge, CA 91325. The listed phone number is (818) 363-3105.

What is Mysore R Nagaraja,m.D.,inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Mysore R Nagaraja,m.D.,inc enrolled in Medicare?

Yes. Mysore R Nagaraja,m.D.,inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mysore R Nagaraja,m.D.,inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to Mysore R Nagaraja,m.D.,inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mysore R Nagaraja,m.D.,inc was last updated on September 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.