Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. VENKEDESH RAJU M.D
NPI 1053512814
Pediatrics in Davenport, FL

Q: What is Venkedesh Raju's NPI number?

The NPI number for Venkedesh Raju is 1053512814. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Q: What is Venkedesh Raju's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Venkedesh Raju was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.

Active since May 30, 2007PECOS Enrolled

40100 HIGHWAY 27, DAVENPORT, FL 33837(407) 975-0412 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 16, 2026, Dec 18, 2024, Feb 18, 2020 (3 updates tracked since 2020).

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About Dr. Venkedesh Raju M.d NPPES

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

DR. VENKEDESH RAJU M.D (NPI 1053512814) is an individual pediatrics provider in Davenport, Florida, licensed in Florida (ME148954) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053512814

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. VENKEDESH RAJUCredential: M.D

Location Address40100 HIGHWAY 27Davenport, FL 33837-5906

Mailing Address40100 Highway 27Davenport, FL 33837-5906 · (407) 975-0412 · Fax (407) 975-0407

Phone(407) 975-0412

Sole ProprietorYes

Enumeration DateMay 30, 2007

Last NPPES UpdateSeptember 16, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2026

✔ NPI 1053512814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in FL · ME148954✔ Licensed in IA · MD-42748✔ Licensed in IL · 125050775

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

40100 HIGHWAY 27, Davenport, FL 33837

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Other Identifiers 2

Medicaid110484500FL

Other809840IL · Medicare Group Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellpoint.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Venkedesh 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 Reassignment

Medicare enrollment records show Venkedesh Raju reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Hospital Medical Group Inc

30 mi

Family Medicine

1115 E RIDGEWOOD ST
Orlando, FL 32803

Reassigned Medicare billing, Florida enrollment
3,005 clinicians in this Medicare group

NPI 1225034234 (407) 841-1100

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 33837 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. JORDAN MARTINEZ MD

Emergency Medicine