DR. SANTHI RAJA M.D
NPI 1073742052
Internal Medicine - Critical Care Medicine in San Ramon, CA
About Dr. Santhi Raja M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SANTHI RAJA M.D (NPI 1073742052) is an individual critical care medicine provider in San Ramon, California, licensed in California (A108477) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Oakland, and is a graduate of Other (1988).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Santhi Raja M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
5Medicare enrollment records show Santhi Raja reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Leandro, CA 94578
- Reassigned Medicare billing, California enrollment
- 900 clinicians in this Medicare group
Belmont, CA 94002
- Reassigned Medicare billing, California enrollment
- 1,191 clinicians in this Medicare group
Prunedale, CA 93907
- Reassigned Medicare billing, California enrollment
- 284 clinicians in this Medicare group
San Bernardino, CA 92404
- Reassigned Medicare billing, California enrollment
- 1,216 clinicians in this Medicare group
Redlands, CA 92373
- Reassigned Medicare billing, California enrollment
- 635 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94582 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Santhi Raja's NPI number?
The NPI number for Santhi Raja is 1073742052. It was assigned to this individual provider in the NPPES registry on July 10, 2009. The provider is also known as Santhi Raja M.D.
Where is Santhi Raja located?
Santhi Raja practices at 2563 Craneford Way, San Ramon, CA 94582. The listed phone number is (562) 377-4573.
What is Santhi Raja's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.
Is Santhi Raja enrolled in Medicare?
Yes. Santhi Raja is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Santhi Raja's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Santhi Raja reassigns Medicare benefits to 5 organizations: Alameda Health System (San Leandro, CA), Dignity Health Medical Foundation (Belmont, CA), County Of Monterey (Prunedale, CA), Inpatient Specialists Of California, PC (San Bernardino, CA) and Beaver Medical Group P C (Redlands, CA). 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 Santhi Raja's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Santhi Raja accept?
Health plans from Blue Cross and Blue Shield of Texas list Santhi Raja 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 Santhi Raja was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Dr. Santhi Raja, M.D · NPI 1073742052
Critical Care Medicine physician in San Ramon, California. Individual provider, active in the CMS NPPES registry since July 10, 2009.
## Identity
- **NPI:** 1073742052 (Entity type: Individual)
- **Enumerated:** July 10, 2009
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **State license:** A108477 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2563 CRANEFORD WAY, San Ramon, CA 94582-4677
- **Phone:** (562) 377-4573
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Alameda Health System (NPI 1558749440, San Leandro, CA); Dignity Health Medical Foundation (NPI 1174531859, Belmont, CA); County Of Monterey (NPI 1063151363, Prunedale, CA); Inpatient Specialists Of California, PC (NPI 1952792475, San Bernardino, CA); Beaver Medical Group P C (NPI 1649503319, Redlands, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1988
## Record status
- **NPPES last updated:** March 7, 2023
- **Other identifiers:** Other A108477 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1073742052) · Data from the CMS NPPES public registry.