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SMITHA RUDRARAJU M.D.
NPI 1104024371
Internal Medicine - Rheumatology in Plano, TX

Active since July 10, 2007PECOS EnrolledAccepts Medicare Assignment
4716 ALLIANCE BLVD STE 775, PLANO, TX 75093(469) 800-6000(469) 800-6000 Get Directions Write a Review

NPPES record last updated: April 14, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Smitha Rudraraju M.d. NPPES

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

SMITHA RUDRARAJU M.D. (NPI 1104024371) is an individual rheumatology provider in Plano, Texas, licensed in Texas (N5984) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Worth, and is a graduate of Wayne State University School Of Medicine (2004).

NPPES Registry Identity

NPI1104024371
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameSMITHA RUDRARAJUCredential: M.D.
Location Address4716 ALLIANCE BLVD STE 775Plano, TX 75093
Mailing Address4716 Alliance Boulevard, Ste 775Plano, TX 75093-5371 · (469) 800-6069 · Fax (469) 800-6061
Phone(469) 800-6000
Fax(469) 800-6000
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2004
Enumeration DateJuly 10, 2007
Last NPPES UpdateApril 14, 2019
✔ NPI 1104024371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in TX · N5984
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
4716 ALLIANCE BLVD STE 775, Plano, TX 75093
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Secondary Practice Location 1

Location 1909 9th Ave, Suite 300Fort Worth, TX 76104-3903 · Phone (817) 336-7191 · Fax (817) 332-8076

Other Identifiers 3

OtherP00882615TX · Railroad Medicare
Medicaid217842801TX
Medicaid217842802TX

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

Smitha 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 ID8628160496
PECOS Enrollment IDI20101215001126
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 2

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.
115 services63 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
40 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Smitha Rudraraju's NPI number?

The NPI number for Smitha Rudraraju is 1104024371. It was assigned to this individual provider in the NPPES registry on July 10, 2007.

Where is Smitha Rudraraju located?

Smitha Rudraraju practices at 4716 Alliance Blvd Ste 775, Plano, TX 75093. The listed phone number is (469) 800-6000.

What is Smitha Rudraraju's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Smitha Rudraraju enrolled in Medicare?

Yes. Smitha 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.

What insurance does Smitha Rudraraju accept?

Health plans from Blue Cross and Blue Shield of Texas list Smitha Rudraraju 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 Smitha Rudraraju was last updated on April 14, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.