Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Thivisa Rajagopal, MD

Individual provider Family Medicine Physician · NPI 1659723005

Thivisa Rajagopal, MD is a Family Practice in Canton, New York. Qualified in 2015, 11 years ago. Practices with Canton-Potsdam Hospital, a 239-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York and Pennsylvania.

Years since qualifying
11
Licensed in
NY, PA
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

80 E Main St
Canton, NY 13617-1450
Phone: (724) 223-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 300516 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence MT211844 (PA)

Record details

NPI number1659723005
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 11, 2016
Last updated in NPPESNovember 26, 2019
Mailing address50 Leroy St, Potsdam, NY 13676-1799

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Canton-Potsdam Hospital — 239 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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