DR. GAAYANA RAJU M.D.
NPI 1154641546
Urology - Pediatric Urology in San Antonio, TX

Active since June 08, 2010PECOS Enrolled
4499 MEDICAL DR STE 360, SAN ANTONIO, TX 78229(210) 615-1600(210) 615-1601 Get Directions Write a Review

NPPES record last updated: March 11, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 11, 2019, Feb 19, 2019 (2 updates tracked since 2019).

About Dr. Gaayana Raju M.d. NPPES

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

DR. GAAYANA RAJU M.D. (NPI 1154641546) is an individual pediatric urology provider in San Antonio, Texas, licensed in Texas (R1443) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Edinburg.

NPPES Registry Identity

NPI1154641546
Entity TypeIndividualFemale
Primary Taxonomy2088P0231X
Provider Legal NameDR. GAAYANA RAJUCredential: M.D.
Location Address4499 MEDICAL DR STE 360San Antonio, TX 78229-3857
Mailing Address4499 Medical Dr Ste 360San Antonio, TX 78229-3857 · (210) 615-1600 · Fax (210) 615-1601
Fax(210) 615-1601
Sole ProprietorNo
Enumeration DateJune 8, 2010
Last NPPES UpdateMarch 11, 20192 updates tracked since enumeration
✔ NPI 1154641546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
License✔ Licensed in TX · R1443
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
4499 MEDICAL DR STE 360, San Antonio, TX 78229

Secondary Practice Location 1

Location 12821 Michaelangelo Dr Ste 203Edinburg, TX 78539-1423 · Phone (956) 362-2517 · Fax (956) 365-2612

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gaayana Raju M.d. 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Gaayana Raju reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Urology
4499 MEDICAL DR STE 360
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
Urology
2833 BABCOCK RD, STE 203
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 9 clinicians in this Medicare group
Neonatal-Perinatal Medicine
2400 ROUND ROCK AVE
Round Rock, TX 78681
  • Reassigned Medicare billing, Texas enrollment
  • 432 clinicians in this Medicare group
Plastic Surgery
3533 S ALAMEDA ST
Corpus Christi, TX 78411
  • Reassigned Medicare billing, Texas enrollment
  • 510 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 3

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

Urology (Pediatric Urology)
4499 MEDICAL DR STE 360
SAN ANTONIO, TX 78229
Urology (Pediatric Urology)
4499 MEDICAL DR STE 360
SAN ANTONIO, TX 78229
Urology (Pediatric Urology)
4499 MEDICAL DR STE 360
SAN ANTONIO, TX 78229

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 Gaayana Raju's NPI number?

The NPI number for Gaayana Raju is 1154641546. It was assigned to this individual provider in the NPPES registry on June 8, 2010.

Where is Gaayana Raju located?

Gaayana Raju practices at 4499 Medical Dr Ste 360, San Antonio, TX 78229. The listed phone number is (210) 615-1600.

What is Gaayana Raju's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Gaayana Raju enrolled in Medicare?

Yes. Gaayana Raju is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gaayana Raju's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gaayana Raju reassigns Medicare benefits to 4 organizations: Sa Pediatric Urology (San Antonio, TX), Texas Urology Group, PA (San Antonio, TX), Magella Medical Associates Billing, Inc. (Round Rock, TX) and Children's Physician Services Of South Texas (Corpus Christi, TX). Each 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 Gaayana Raju's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gaayana Raju accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Gaayana Raju 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 Gaayana Raju was last updated on March 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.