DR. RAJU THOMAS MD
NPI 1093809360
Urology in New Orleans, LA

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
96.68/100
CMS Quality Rating
1415 TULANE AVE, UROLOGY CLINIC, NEW ORLEANS, LA 70112(504) 988-2300(504) 988-7655 Get Directions Write a Review

NPPES record last updated: August 16, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Raju Thomas Md NPPES

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

DR. RAJU THOMAS MD (NPI 1093809360) is an individual urology provider in New Orleans, Louisiana, licensed in Louisiana (04604R) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Touro Infirmary, and is a graduate of Other (1975).

NPPES Registry Identity

NPI1093809360
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. RAJU THOMASCredential: MD
Location Address1415 TULANE AVE, UROLOGY CLINICNew Orleans, LA 70112-2600
Mailing Address1430 Tulane Ave, Tw22New Orleans, LA 70112-2632 · (504) 988-2300 · Fax (504) 988-7655
Fax(504) 988-7655
Sole ProprietorNo
Medical School CMSOtherGraduated 1975
Enumeration DateOctober 3, 2006
Last NPPES UpdateAugust 16, 2011
NPI 1093809360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in LA · 04604R
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1415 TULANE AVE, New Orleans, LA 70112

Other Identifiers 3

Medicare UPINB65708LA
Medicare ID-Type Unspecified55303LA · Medicare Provider Number
Medicaid1321265LA

Accepted 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. Raju Thomas Md 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 ID5092862342
PECOS Enrollment IDI20090402000565
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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
204 services152 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
50 services42 patients
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.
48 services48 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
22 services19 patients
Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52310
This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.
12 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Touro Infirmary

Acute Care Hospitals · New Orleans, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190046
Location1401 Foucher StreetNew Orleans, LA 70115 · Orleans County
Emergency services Birthing friendly

East Jefferson General Hospital

Acute Care Hospitals · Metairie, LA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number190176
Location4200 Houma BlvdMetairie, LA 70006 · Jefferson County
Emergency services Birthing friendly

Ochsner Medical Center-Hancock

Acute Care Hospitals · Bay Saint Louis, MS
OwnershipGovernment - Local
CMS Certification Number250162
Location149 Drinkwater BlvdBay Saint Louis, MS 39520 · Hancock County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70112 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$69.44 typical visit price
range $17.42 – $138.03
Typical copayment $17.36 (range $4.35 – $34.50)
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.

96.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.69
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers15 claims2,574 services$1.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pediatrics (Pediatric Infectious Diseases)
1415 TULANE AVE
NEW ORLEANS, LA 70112
Surgery
1415 TULANE AVE
NEW ORLEANS, LA 70112
Rehabilitation Unit
1415 TULANE AVE
NEW ORLEANS, LA 70112
Orthopaedic Surgery
1415 TULANE AVE
NEW ORLEANS, LA 70112
Registered Nurse
1415 TULANE AVE
NEW ORLEANS, LA 70112
Nurse Anesthetist, Certified Registered
1415 TULANE AVE
NEW ORLEANS, LA 70112
Family Medicine
1415 TULANE AVE
NEW ORLEANS, LA 70112
General Acute Care Hospital
1415 TULANE AVE
NEW ORLEANS, LA 70112

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 Raju Thomas's NPI number?

The NPI number for Raju Thomas is 1093809360. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Raju Thomas located?

Raju Thomas practices at 1415 Tulane Ave Urology Clinic, New Orleans, LA 70112. The listed phone number is (504) 988-2300.

What is Raju Thomas's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Raju Thomas enrolled in Medicare?

Yes. Raju Thomas 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 Raju Thomas accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Raju Thomas 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.

Is Raju Thomas affiliated with any hospitals?

According to CMS data, Raju Thomas is affiliated with Touro Infirmary, East Jefferson General Hospital and Ochsner Medical Center-Hancock.

When was this NPI record last updated?

The NPPES record for Raju Thomas was last updated on August 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.