DEEPAK THIAGARAJAN MD NPI 1205052990

NPI Information

  • NPI: 1205052990
  • Provider Name: DEEPAK THIAGARAJAN, MD
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7974 HAVEN AVE STE 210
    RANCHO CUCAMONGA, CA
    ZIP 91730
  • Phone: (909) 881-5994

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NPI Details

Deepak Thiagarajan, MD is a geriatric medicine internal medicine in Rancho Cucamonga, CA with 24 years of experience. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. Deepak Thiagarajan, MD NPI is 1205052990. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7974 HAVEN AVE STE 210
RANCHO CUCAMONGA, CA
ZIP 91730-052
Phone: (909) 881-5994
Fax: (909) 248-7769

The NPI 1205052990 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Advance care planning, first 30 minutes (HCPCS:99497)

The enumeration date for this NPI number is 4/18/2007 and was last updated on 4/4/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineMD12318RHODE ISLANDNo
2207RG0300XInternal MedicineGeriatric MedicineLP00988RHODE ISLANDNo
3207RG0300XInternal MedicineGeriatric MedicineA 113059CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1414203OTHERRHODE ISLANDBLUECHIP
2DT68425MEDICAIDRHODE ISLAND
3AA91479OTHERRHODE ISLANDHPHC - MIRIAM
432935-4OTHERRHODE ISLANDBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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