RAJA PRAHADEESH SARAVANAN
NPI 1124766944
Student in an Organized Health Care Education/Training Program in Baton Rouge, LA

Active since May 23, 2022PECOS Enrolled
BRG MID CITY MEDICINE CLINIC, 3401 NORTH BOULEVARD, SUITE 130, BATON ROUGE, LA 70806(225) 387-7900 Get Directions Write a Review

NPPES record last updated: February 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 10, 2023, May 23, 2022 (2 updates tracked since 2022).

About Raja Prahadeesh Saravanan NPPES

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

RAJA PRAHADEESH SARAVANAN (NPI 1124766944) is an individual student in an organized health care education/training program in Baton Rouge, Louisiana and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124766944
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRAJA PRAHADEESH SARAVANAN
Location AddressBRG MID CITY MEDICINE CLINIC, 3401 NORTH BOULEVARD, SUITE 130Baton Rouge, LA 70806
Mailing AddressBrg Mid City Medicine Clinic, 3401 North Boulevard, Suite 130Baton Rouge, LA 70806 · (225) 387-7900
Sole ProprietorNo
Enumeration DateMay 23, 2022
Last NPPES UpdateFebruary 10, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2023
NPI 1124766944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
BRG MID CITY MEDICINE CLINIC, 3401 NORTH BOULEVARD, Baton Rouge, LA 70806

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Raja Prahadeesh Saravanan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
BRG MID CITY MEDICINE CLINIC, 3401 NORTH BOULEVARD, SUITE 130
BATON ROUGE, LA 70806
Student in an Organized Health Care Education/Training Program
BRG MID CITY MEDICINE CLINIC, 3401 NORTH BOULEVARD, SUITE 130
BATON ROUGE, LA 70806

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 Raja Prahadeesh Saravanan's NPI number?

The NPI number for Raja Prahadeesh Saravanan is 1124766944. It was assigned to this individual provider in the NPPES registry on May 23, 2022.

Where is Raja Prahadeesh Saravanan located?

Raja Prahadeesh Saravanan practices at Brg Mid City Medicine Clinic, 3401 North Boulevard Suite 130, Baton Rouge, LA 70806. The listed phone number is (225) 387-7900.

What is Raja Prahadeesh Saravanan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Raja Prahadeesh Saravanan enrolled in Medicare?

Yes. Raja Prahadeesh Saravanan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Raja Prahadeesh Saravanan was last updated on February 10, 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.