1. Home
  2. Directory
  3. California
  4. San Ramon
  5. Internal Medicine
  6. NPI Profile

DR. SANTHI RAJA M.D
NPI 1073742052
Internal Medicine - Critical Care Medicine in San Ramon, CA

Active since July 10, 2009PECOS EnrolledAccepts Medicare Assignment
86.91/100
CMS Quality Rating
2563 CRANEFORD WAY, SAN RAMON, CA 94582(562) 377-4573 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2023, May 1, 2019 (2 updates tracked since 2019).

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 and is a graduate of Other (1988).

NPPES Registry Identity

NPI1073742052
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameDR. SANTHI RAJACredential: M.D
Location Address2563 CRANEFORD WAYSan Ramon, CA 94582-4677
Mailing Address2350 W El Camino Real Fl 2Mountain View, CA 94040-6203 · (510) 869-6883 · Fax (510) 869-6888
Phone(562) 377-4573
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJuly 10, 2009
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1073742052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in CA · A108477
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License A108477 (CA)
2563 CRANEFORD WAY, San Ramon, CA 94582
Open in Google Maps ↗

Other Names 1

Other Name (5)Santhi Raja M.d

Other Identifiers 1

OtherA108477CA · State Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID3274714100
PECOS Enrollment IDI20110224000533
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.

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients

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.

New Patient
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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.

86.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.61
Promoting Interoperability81
Improvement Activities40
Cost73.92

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.

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.