DR. RENGANADEN SOOPPAN (MD) – Vascular Surgery Physician, NPI 1356632491

DR. RENGANADEN SOOPPAN (MD) is a healthcare provider. based in Reading, Pennsylvania. specializing in VASCULAR SURGERY. They hold the professional credentials MD. They hold a License No. MD449590 (PA). The NPI Number for DR. RENGANADEN SOOPPAN (MD) is 1356632491

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. RENGANADEN SOOPPAN (MD)
NPI
1356632491
Phone
Not provided
Address
PO BOX 13579
Enumeration Date
25 April 2011
Last Update Date
21 October 2024

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Secondary Phone
7028035534
Graduation Year
2011 (15 years ago)
PAC ID
6103058441
Group Practice PAC ID
4082630512
Professional Enrollment ID
I20241023003670
Address ID
NV891485615LA6070XRDXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:15State licenses:2Digital endpointsOther names

57 VASCULAR SURGERY in NV

Provider Addresses for DR. RENGANADEN SOOPPAN (MD)

  • PO BOX 13579

    READING, PA 196123579

    Phone:

    Type: Mailing

  • 6070 S FORT APACHE RD STE 100

    LAS VEGAS, NV 891485615

    Phone: (702) 803-5534

    Fax: (888) 977-1206

    Type: Mailing

  • 301 S 7TH AVE

    WEST READING, PA 196111410

    Phone: (484) 628-2468

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $506.

Total Amount is formed as General ($506) + Research ($0) + Ownership ($0) = $506.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($136).

Total Amount

$506

General + Research + Ownership

Payments

13

Total payment records

General Amount

$506

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-10-23

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
I20190820000070IVascular SurgeryPATBD
I20240705002620IVascular SurgeryVATBD
I20241023003670IVascular SurgeryNVTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93880Ultrasound of both sides of head and neck blood flow272252$0
99214Established patient office or other outpatient visit, 30-39 minutes186161$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7975$0
93923Complete ultrasound study of arm and leg arteries7169$0
93971Ultrasound study of one arm or leg veins with compression and maneuvers7167$0
View full utilization report →

Insurance plans in this area (ZIP 19612)

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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: 4082630512View full group profile
NameSpecialtyState
-NV
Nurse PractitionerNV
Physician AssistantNV
Internal Medicine, EndocrinologyTX
Family PracticeNV
General PracticeFL
Nurse PractitionerNV
Internal Medicine, Infectious DiseaseNY
Nurse PractitionerNJ
P O D I A T R YNV

Reviews

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Frequently asked questions

Where can patients find DR. RENGANADEN SOOPPAN (MD)'s NPI?
You can confirm DR. RENGANADEN SOOPPAN (MD) with NPI 1356632491; it appears in the national provider directory.
Is DR. RENGANADEN SOOPPAN (MD) active in the national directory?
DR. RENGANADEN SOOPPAN (MD)'s public NPI profile is in an active state.
What kind of provider is DR. RENGANADEN SOOPPAN (MD)?
The page reflects Vascular Surgery Physician for DR. RENGANADEN SOOPPAN (MD). Clinical services aligned with this taxonomy classification.
Where is DR. RENGANADEN SOOPPAN (MD)'s primary listing?
We display Reading, Pennsylvania because that is what the record indicates for DR. RENGANADEN SOOPPAN (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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