KANTHI RAJU, D.O., P.A.
NPI 1114186947
Psychiatry & Neurology - Psychiatry in Richardson, TX

Active since June 06, 2008
275 W CAMPBELL RD, SUITE 430, RICHARDSON, TX 75080(972) 918-0170 Get Directions Write a Review

NPPES record last updated: July 28, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kanthi Raju, D.o., P.a. NPPES

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

KANTHI RAJU, D.O., P.A. (NPI 1114186947) is a healthcare organization registered as a psychiatry in Richardson, Texas and active in the NPI registry since June 2008. The organization lists Kanthi P. Raju, D.o., as its authorized official.

NPPES Registry Identity

NPI1114186947
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameKANTHI RAJU, D.O., P.A.
Location Address275 W CAMPBELL RD, SUITE 430Richardson, TX 75080-3601
Mailing AddressPo Box 1171Addison, TX 75001-1171 · (972) 991-9950
Organization SubpartNo
Authorized OfficialKanthi P. RajuD.o. · (972) 918-0170
Enumeration DateJune 6, 2008
Last NPPES UpdateJuly 28, 2008
✔ NPI 1114186947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in TX · K1905
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
275 W CAMPBELL RD, Richardson, TX 75080

Other Identifiers 2

Medicare PIN00Z192TX
Medicare UPINH08134TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kanthi Raju, D.o., P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20080630000104Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kanthi Raju, D.O., P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Psychiatry
NPI 1124039144
2150 LAKESIDE BLVD STE 225E
Richardson, TX 75082
(972) 907-5230
✔ PECOS✔ Accepts Medicare0.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kanthi Raju, D.O., P.A.'s NPI number?

The NPI number for Kanthi Raju, D.O., P.A. is 1114186947. It was assigned to this organization in the NPPES registry on June 6, 2008.

Where is Kanthi Raju, D.O., P.A. located?

Kanthi Raju, D.O., P.A. is located at 275 W Campbell Rd Suite 430, Richardson, TX 75080. The listed phone number is (972) 918-0170.

What is Kanthi Raju, D.O., P.A.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Kanthi Raju, D.O., P.A. enrolled in Medicare?

Yes. Kanthi Raju, D.O., P.A. is registered in the Medicare PECOS enrollment system.

When is Kanthi Raju, D.O., P.A.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Kanthi Raju, D.O., P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Kanthi Raju, D.O., P.A.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kanthi Raju, D.O., P.A. was last updated on July 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.