| Dr Raghunandan Lakshmana Motaganahalli, | |
|
2651 E Discovery Pkwy, Bloomington, IN 47408-9059 | |
| (812) 355-6900 | |
| (812) 339-1292 |
| Full Name | Dr Raghunandan Lakshmana Motaganahalli |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 33 Years |
| Location | 2651 E Discovery Pkwy, Bloomington, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285836932 | NPI | - | NPPES |
| 273010J | Other | IN | MEDICARE PTAN |
| 815500267 | Other | IN | MEDICARE PTAN |
| P00806728 | Other | IN | RAILROAD PTAN |
| 200935200 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 01066089A (Indiana) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 01066089A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health | Indianapolis, IN | Hospital |
| Indiana University Health North Hospital | Carmel, IN | Hospital |
| Iu Health West Hospital | Avon, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Vascular Surgery, Inc | 7911969050 | 14 |
| Entity Name | Arnett Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119 |
| Entity Name | Indiana University Health Southern Indiana Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
| Entity Name | University Vascular Surgery, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043328487 PECOS PAC ID: 7911969050 Enrollment ID: O20041101000327 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Raghunandan Lakshmana Motaganahalli, 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Dr Raghunandan Lakshmana Motaganahalli, 2651 E Discovery Pkwy, Bloomington, IN 47408-9059 Ph: (812) 355-6900 |
Terrence M Greene, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 419 W 1st St, Bloomington, IN 47403 Phone: 812-336-7879 Fax: 812-336-7881 | |
Duangnapa S. Cuddy, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-355-6900 | |
Dr. Luke Portwood Fife, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-355-6900 Fax: 812-355-6912 | |
Dr. Jason Kasza, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-355-2750 Fax: 812-355-2751 | |
Dr. Lindita N Coku, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-334-5081 Fax: 812-334-5091 | |
Mr. Charles R. Mckeen Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 421 W 1st St, Bloomington, IN 47403 Phone: 812-332-3531 Fax: 812-332-4673 |