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VIDYA RAGHAVAN MD
NPI 1194955286
Internal Medicine - Hospice and Palliative Medicine in Richmond, VA

Active since July 23, 2009PECOS Enrolled
5855 BREMO RD, SUITE 408, RICHMOND, VA 23226(804) 288-2673(804) 285-5572 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Vidya Raghavan Md NPPES

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

VIDYA RAGHAVAN MD (NPI 1194955286) is an individual hospice and palliative medicine provider in Richmond, Virginia, licensed in Virginia (0101253367) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194955286
Entity TypeIndividualFemale
Primary Taxonomy207RH0002X
Provider Legal NameVIDYA RAGHAVANCredential: MD
Location Address5855 BREMO RD, SUITE 408Richmond, VA 23226-1930
Mailing Address5855 Bremo Rd, Suite 408Richmond, VA 23226-1930 · (804) 288-2673 · Fax (804) 285-5572
Phone(804) 288-2673
Fax(804) 285-5572
Sole ProprietorNo
Enumeration DateJuly 23, 2009
Last NPPES UpdateNovember 12, 2024
NPPES CertifiedNovember 12, 2024
✔ NPI 1194955286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License✔ Licensed in VA · 0101253367
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD60901847 (WA), 240418 (MA), 0101253367 (VA)
5855 BREMO RD, Richmond, VA 23226
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Other Names 1

Other Name (5)Vidya Raghavan Md

Other Identifiers 1

OtherC06778VA · Group Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vidya Raghavan Md 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

8

Medicare enrollment records show Vidya Raghavan reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bon Secours-St. Mary's Hospital Of Richmond, Inc.
Same address
Infectious Disease
5855 BREMO RD STE 306
Richmond, VA 23226
  • Reassigned Medicare billing, Virginia enrollment
  • Medicare enrollment name: Bon Secours St Marys Hospital Of Richmond LLC
  • 164 clinicians in this Medicare group
NPI 1063772143 (804) 673-2814
Hospitalist Medicine Physicians Of Virginia - Richmond, LLC
Same address
Internal Medicine
5801 BREMO RD
Richmond, VA 23226
  • Reassigned Medicare billing, Virginia enrollment
  • 104 clinicians in this Medicare group
NPI 1699311324 (804) 285-2011
Snf Ltc Partners Of Virginia
3.3 mi
Family Medicine
2420 MAPLEWOOD AVE STE G
Richmond, VA 23220
  • Reassigned Medicare billing, Virginia enrollment
  • 34 clinicians in this Medicare group
NPI 1982231148 (804) 525-9484
Bon Secours Medical Group Richmond Primary Care LLC
6.2 mi
Family Medicine
8580 MAGELLAN PKWY
Richmond, VA 23227
  • Reassigned Medicare billing, Virginia enrollment
  • 140 clinicians in this Medicare group
NPI 1861050635 (804) 627-5573
Bon Secours Medical Group Richmond Specialty Care LLC
6.2 mi
Cardiovascular Disease
8580 MAGELLAN PKWY
Richmond, VA 23227
  • Reassigned Medicare billing, Virginia enrollment
  • 581 clinicians in this Medicare group
NPI 1477112225 (804) 627-5573
Hospitalist Medicine Physicians Of Fredericksburg, LLC
50 mi
Internal Medicine
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
  • Reassigned Medicare billing, Virginia enrollment
  • 258 clinicians in this Medicare group
NPI 1447577572 (330) 493-4443
Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
88 mi
Health Maintenance Organization
12255 FAIR OAKS PKWY
Fairfax, VA 22033
  • Reassigned Medicare billing, District of Columbia enrollment
  • 2,492 clinicians in this Medicare group
NPI 1215058326 (703) 934-5700
Hospitalist Medicine Physicians Of Virginia LLC
117 mi
Internal Medicine
1840 AMHERST ST
Winchester, VA 22601
  • Reassigned Medicare billing, Virginia enrollment
  • 371 clinicians in this Medicare group
NPI 1770756991 (540) 536-4334

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

Areas of Expertise CMS Part B claims 8

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
146 services58 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
44 services43 patients
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.
42 services29 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.
41 services41 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
25 services18 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
25 services21 patients

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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
33%43 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
58%81 patients3/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
57%67 patients3/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
32%28 patients2/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers17 claims17 services$11.43 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$49.26 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.

JANINE L GIBBONS CRNA
Nurse Anesthetist, Certified Registered
5855 BREMO RD, SUITE 100
RICHMOND, VA 23226
Richmond City (804) 288-6258
BON SECOURS VIRGINIA MEDICAL GROUP I, LLC
Internal Medicine (Infectious Disease)
5855 BREMO RD, SUITE 102
RICHMOND, VA 23226
Richmond City (804) 673-2814
CALEB LESCH
Nurse Anesthetist, Certified Registered
5855 BREMO RD, SUITE 100
RICHMOND, VA 23226
Richmond City (804) 673-1038
PAUL A GHAEMMAGHAMI MD
Colon & Rectal Surgery
5855 BREMO RD, SUITE 101
RICHMOND, VA 23226
Richmond City (804) 673-0080
DRS MEYER DAY AND LOVINGS PC
Pediatrics
5855 BREMO RD, SUITE #302
RICHMOND, VA 23226
Richmond City (804) 282-4207
MR. DAVID M MIRKES CRNA
Nurse Anesthetist, Certified Registered
5855 BREMO RD, SUITE 100
RICHMOND, VA 23226
Richmond City (804) 288-6258
MRS. CAREY WAKINSON ELDER CRNA
Nurse Anesthetist, Certified Registered
5855 BREMO RD, SUITE 100
RICHMOND, VA 23226
Richmond City (804) 288-6258
MICHAEL D. MANDEL M.D.
Internal Medicine
5855 BREMO RD, STE 403
RICHMOND, VA 23226
Richmond City (804) 288-3079

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 Vidya Raghavan's NPI number?

The NPI number for Vidya Raghavan is 1194955286. It was assigned to this individual provider in the NPPES registry on July 23, 2009. The provider is also known as Vidya Raghavan MD.

Where is Vidya Raghavan located?

Vidya Raghavan practices at 5855 Bremo Rd Suite 408, Richmond, VA 23226. The listed phone number is (804) 288-2673.

What is Vidya Raghavan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Vidya Raghavan enrolled in Medicare?

Yes. Vidya Raghavan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Vidya Raghavan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vidya Raghavan reassigns Medicare benefits to 8 organizations: Bon Secours-St. Mary's Hospital Of Richmond, Inc. (Richmond, VA), Hospitalist Medicine Physicians Of Virginia - Richmond, LLC (Richmond, VA), Snf Ltc Partners Of Virginia (Richmond, VA), Bon Secours Medical Group Richmond Primary Care LLC (Richmond, VA), Bon Secours Medical Group Richmond Specialty Care LLC (Richmond, VA) and 3 more organizations, listed in the Medicare section above. 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 Vidya Raghavan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vidya Raghavan accept?

Health plans from Oscar Health list Vidya Raghavan 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 Vidya Raghavan was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.