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AJAY RAJAGOPALAN MD
NPI 1942991641
Family Medicine in Waterloo, IA

Active since May 15, 2023PECOS Enrolled
2055 KIMBALL AVE STE 101, WATERLOO, IA 50702(319) 272-2112 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ajay Rajagopalan Md NPPES

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

AJAY RAJAGOPALAN MD (NPI 1942991641) is an individual family medicine provider in Waterloo, Iowa, licensed in Iowa (R-12710) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, is affiliated with Mercyone Waterloo Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1942991641
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameAJAY RAJAGOPALANCredential: MD
Location Address2055 KIMBALL AVE STE 101Waterloo, IA 50702-5047
Mailing Address2055 Kimball Ave Ste 101Waterloo, IA 50702-5047
Phone(319) 272-2112
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 15, 2023
NPPES CertifiedMay 15, 2023
✔ NPI 1942991641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IA · R-12710
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2055 KIMBALL AVE STE 101, Waterloo, IA 50702
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ajay Rajagopalan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517326564
PECOS Enrollment IDI20260821001701
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.

Medicare Billing Reassignment

Medicare enrollment records show Ajay Rajagopalan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ellsworth Municipal Hospital
36 mi
Family Medicine
1000 10TH AVE
Ackley, IA 50601
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1831296052 (Iowa)
  • 46 clinicians in this Medicare group
NPI 1356359061 (641) 847-2625

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

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

Mercyone Waterloo Medical Center

Acute Care Hospitals · Waterloo, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160067
Location3421 West Ninth StreetWaterloo, IA 50702 · Black Hawk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50702 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

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.

KURTIS ALAN LUCAS MD
Family Medicine
2055 KIMBALL AVE STE 101
WATERLOO, IA 50702
Black Hawk County (319) 272-2112
SHAMIM S KHAN MD
Family Medicine
2055 KIMBALL AVE STE 101
WATERLOO, IA 50702
Black Hawk County (319) 272-2112
AANSHI SANJAYBHAI KOTHARI MD
Family Medicine
2055 KIMBALL AVE STE 101
WATERLOO, IA 50702
Black Hawk County (319) 272-2112
STEPHANIE A GRZYBEK L.I.S.W
Social Worker (Clinical)
2055 KIMBALL AVE STE 101
WATERLOO, IA 50702
Black Hawk County (319) 272-2112
MS. MARY MARGARET HEATLEY PA-C
Physician Assistant
2055 KIMBALL AVE STE 101
WATERLOO, IA 50702
Black Hawk County (319) 272-2112
CINDY L HUWE MD
Family Medicine
2055 KIMBALL AVE STE 101
WATERLOO, IA 50702
Black Hawk County (319) 272-2112
MOHAMMED GHANIM MD
Family Medicine
2055 KIMBALL AVE STE 101
WATERLOO, IA 50702
Black Hawk County (319) 272-2529
DR. PRACHI MEHMI MD
Family Medicine
2055 KIMBALL AVE STE 101
WATERLOO, IA 50702
Black Hawk County (319) 272-2112

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 Ajay Rajagopalan's NPI number?

The NPI number for Ajay Rajagopalan is 1942991641. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Where is Ajay Rajagopalan located?

Ajay Rajagopalan practices at 2055 Kimball Ave Ste 101, Waterloo, IA 50702. The listed phone number is (319) 272-2112.

What is Ajay Rajagopalan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ajay Rajagopalan enrolled in Medicare?

Yes. Ajay Rajagopalan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ajay Rajagopalan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ajay Rajagopalan reassigns Medicare benefits to Ellsworth Municipal Hospital (Ackley, IA). The 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 Ajay Rajagopalan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ajay Rajagopalan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Wellmark Health Plan of Iowa, Inc. list Ajay 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 Ajay Rajagopalan affiliated with any hospitals?

According to CMS data, Ajay Rajagopalan is affiliated with Mercyone Waterloo Medical Center.

When was this NPI record last updated?

The NPPES record for Ajay Rajagopalan was last updated on May 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.