EIEL E RAGSDALE (MD) – Family Medicine Physician, NPI 1043535941

EIEL E RAGSDALE (MD) is a healthcare provider. based in Scranton, Pennsylvania. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 58861 (AZ). The NPI Number for EIEL E RAGSDALE (MD) is 1043535941

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
EIEL E RAGSDALE (MD)
NPI
1043535941
Phone
(570) 241-0500
Address
1078 S Washington Ave
Enumeration Date
2 April 2010
Last Update Date
3 June 2026

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4806180177
Graduation Year
2010 (16 years ago)
PAC ID
2163675026
Group Practice PAC ID
3274939988
Professional Enrollment ID
I20220523001134
Address ID
AZ850518395PH3536XAVEX400
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:16State licenses:2Digital endpointsOther names

6,103 FAMILY PRACTICE in PA

Provider Addresses for EIEL E RAGSDALE (MD)

  • 1078 S Washington Ave

    Scranton, PA 185053812

    Phone: (570) 241-0500

    Fax: (570) 491-8012

    Type: Location

  • 1003 S Spruce St

    Vivian, LA 710823200

    Phone: (318) 375-3239

    Type: Location

  • PO BOX 746093

    ATLANTA, GA 303746093

    Phone: (888) 702-0617

    Fax: (312) 929-0373

    Type: Mailing

  • 3536 W GLENDALE AVE

    PHOENIX, AZ 850518395

    Phone: (480) 618-0177

    Fax: (620) 371-2243

    Type: Location

  • 1003, South Spruce Street, Brent, Vivian, Caddo Parish, Louisiana, 71082, United States

    VIVIAN, LA 710823200

    Phone: (318) 375-3239

    Type: Mailing

  • 1113 Carlisle Rd

    York, PA 174044939

    Phone: (717) 200-1567

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-05-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130102000121IEmergency MedicineLATBD
I20210105000406IFamily PracticePATBD
I20220523001134IFamily PracticeAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 18505)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274939988View full group profile
NameSpecialtyState
Nurse PractitionerAZ
Clinical Social WorkerAZ
Internal MedicineGA
Nurse PractitionerIL
Nurse PractitionerAZ
Physician AssistantAZ
Hospitalist, Family PracticeNM
Physician AssistantAZ
Nurse PractitionerNY
Nurse PractitionerAZ

Reviews

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Frequently asked questions

Can I use this page to confirm EIEL E RAGSDALE (MD)'s NPI?
Yes. EIEL E RAGSDALE (MD) is listed with NPI 1043535941 in the public NPI dataset.
Is EIEL E RAGSDALE (MD) listed as active for patients and plans?
The listing shows EIEL E RAGSDALE (MD) as active in the NPI system.
What taxonomy line describes EIEL E RAGSDALE (MD)?
For research purposes, treat EIEL E RAGSDALE (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does EIEL E RAGSDALE (MD) list a practice location?
Patients near Scranton, Pennsylvania may find EIEL E RAGSDALE (MD) in results; validate coverage separately.
Why does EIEL E RAGSDALE (MD) have multiple addresses?
7 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.