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SUJA RAJU M.D.
NPI 1003254806
Psychiatry & Neurology - Psychiatry in Statesville, NC

Active since June 13, 2013PECOS Enrolled
515 BROOKDALE DR, STATESVILLE, NC 28677(704) 380-3620(704) 380-3623 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 25, 2025, Mar 2, 2022, Feb 2, 2022 and 2 more (5 updates tracked since 2017).

About Suja Raju M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUJA RAJU M.D. (NPI 1003254806) is an individual psychiatry provider in Statesville, North Carolina, licensed in North Carolina (2017-01238) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Statesville.

NPPES Registry Identity

NPI1003254806
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameSUJA RAJUCredential: M.D.
Location Address515 BROOKDALE DRStatesville, NC 28677-4107
Mailing Address200 E 2nd AveGastonia, NC 28052-4358 · (704) 874-1900
Phone(704) 380-3620
Fax(704) 380-3623
Sole ProprietorNo
Enumeration DateJune 13, 2013
Last NPPES UpdateNovember 25, 20255 updates tracked since enumeration
NPPES CertifiedNovember 25, 2025
✔ NPI 1003254806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NC · 2017-01238
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
515 BROOKDALE DR, Statesville, NC 28677
Open in Google Maps ↗

Secondary Practice Location 1

Location 1766 Hartness RdStatesville, NC 28677-3479 · Phone (704) 380-3620

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suja Raju M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Suja Raju reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Iredell Physician Network LLC
Same address
Family Medicine
774 HARTNESS RD
Statesville, NC 28677
  • Reassigned Medicare billing, North Carolina enrollment
  • 116 clinicians in this Medicare group
NPI 1487840427 (704) 924-7992
Gaston Family Health Services, Inc.
Same address
Federally Qualified Health Center (FQHC)
518 BROOKDALE DR
Statesville, NC 28677
  • Reassigned Medicare billing, North Carolina enrollment
  • 207 clinicians in this Medicare group
NPI 1710237367 (704) 872-9595

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28677 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
95%40 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
76%34 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
91%81 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
79%24 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIO ZAPATA, M.D., P.C.
Specialist
515 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 883-8762
AMY D. CLAY ED.S., LPA, NCSP
Psychologist
515 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-1697
CAROLINA PSYCH GROUP, PA
Psychologist (Clinical)
515 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-1697
MRS. ALISIA LOUISE DULANEY LCSW
Social Worker (Clinical)
515 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 380-3620
DR. SHARON ROWLETTE POWELL PSY.D
Psychologist
515 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-1697
AHSAT CENTER FOR INTEGRATIVE ONCOLOGY
Clinic/Center (Adult Mental Health)
515 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 999-7378
MS. SALLIE D VALLEREUX LPC, LCAS
Counselor (Addiction (Substance Use Disorder))
515 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-1697
MR. MARIO GUILLERMO ZAPATA M.D.
Psychiatry & Neurology (Psychiatry)
515 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 883-8660

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suja Raju's NPI number?

The NPI number for Suja Raju is 1003254806. It was assigned to this individual provider in the NPPES registry on June 13, 2013.

Where is Suja Raju located?

Suja Raju practices at 515 Brookdale Dr, Statesville, NC 28677. The listed phone number is (704) 380-3620.

What is Suja Raju's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Suja Raju enrolled in Medicare?

Yes. Suja Raju is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Suja Raju's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suja Raju reassigns Medicare benefits to 2 organizations: Iredell Physician Network LLC (Statesville, NC) and Gaston Family Health Services, Inc. (Statesville, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Suja Raju's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Suja Raju accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 1 other insurer list Suja Raju as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Suja Raju was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.