RAGHU RUDRARAJU M.D.
NPI 1093324220
Internal Medicine in South Hill, VA

Active since July 23, 2020PECOS EnrolledAccepts Medicare Assignment
81.88/100
CMS Quality Rating
1755 N MECKLENBURG AVE, SOUTH HILL, VA 23970(434) 447-3151 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 28, 2024, Sep 8, 2023, Jul 23, 2020 (3 updates tracked since 2020).

About Raghu Rudraraju M.d. NPPES

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

RAGHU RUDRARAJU M.D. (NPI 1093324220) is an individual internal medicine provider in South Hill, Virginia, licensed in Virginia (0101277764) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, is affiliated with Medical College Of Virginia Hospitals, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093324220
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRAGHU RUDRARAJUCredential: M.D.
Location Address1755 N MECKLENBURG AVESouth Hill, VA 23970-4080
Mailing Address3401 North Boulevard Brg Mid City Medicine Clinic, Suite 130Baton Rouge, LA 70806
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 23, 2020
Last NPPES UpdateJune 28, 20243 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
NPI 1093324220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in VA · 0101277764
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1755 N MECKLENBURG AVE, South Hill, VA 23970

Secondary Practice Locations 2

Location 13401 North Boulevard Baton Rouge General Mid City Medi, Suite 130Baton Rouge, LA 70806 · Phone (225) 387-7900
Location 21250 E Marshall StRichmond, VA 23298-5023 · Phone (804) 828-9325

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

Raghu Rudraraju 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 ID840615142
PECOS Enrollment IDI20231020000083
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
112 services59 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
58 services56 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
50 services48 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
27 services12 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
21 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490032
LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County
Emergency services Birthing friendly

Community Memorial Hospital

Acute Care Hospitals · South Hill, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490098
Location1755 North Mecklenburg AvenueSouth Hill, VA 23970 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23970 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

81.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.91
Promoting Interoperability100
Improvement Activities40
Cost64.69

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.

Internal Medicine
1755 N MECKLENBURG AVE
SOUTH HILL, VA 23970
Internal Medicine
1755 N MECKLENBURG AVE
SOUTH HILL, VA 23970
Physician Assistant
1755 N MECKLENBURG AVE
SOUTH HILL, VA 23970
Internal Medicine (Cardiovascular Disease)
1755 N MECKLENBURG AVE
SOUTH HILL, VA 23970
Internal Medicine (Gastroenterology)
1755 N MECKLENBURG AVE
SOUTH HILL, VA 23970
Obstetrics & Gynecology
1755 N MECKLENBURG AVE
SOUTH HILL, VA 23970
Family Medicine
1755 N MECKLENBURG AVE
SOUTH HILL, VA 23970
Emergency Medicine
1755 N MECKLENBURG AVE
SOUTH HILL, VA 23970

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 Raghu Rudraraju's NPI number?

The NPI number for Raghu Rudraraju is 1093324220. It was assigned to this individual provider in the NPPES registry on July 23, 2020.

Where is Raghu Rudraraju located?

Raghu Rudraraju practices at 1755 N Mecklenburg Ave, South Hill, VA 23970. The listed phone number is (434) 447-3151.

What is Raghu Rudraraju's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Raghu Rudraraju enrolled in Medicare?

Yes. Raghu Rudraraju 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.

Is Raghu Rudraraju affiliated with any hospitals?

According to CMS data, Raghu Rudraraju is affiliated with Medical College Of Virginia Hospitals and Community Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Raghu Rudraraju was last updated on June 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.