RAJESH BOORGU MD, LLC
NPI 1205501996
Internal Medicine - Nephrology in Muscle Shoals, AL

Active since August 13, 2021
201 AVALON AVE, MUSCLE SHOALS, AL 35661(256) 766-1401(256) 766-1402 Get Directions Write a Review

NPPES record last updated: August 13, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rajesh Boorgu Md, Llc NPPES

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

RAJESH BOORGU MD, LLC (NPI 1205501996) is a healthcare organization registered as a nephrology in Muscle Shoals, Alabama and active in the NPI registry since August 2021. The organization lists Rajesh Boorgu, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1205501996
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameRAJESH BOORGU MD, LLC
Location Address201 AVALON AVEMuscle Shoals, AL 35661-2805
Mailing Address422 E Dr Hicks Blvd Ste AFlorence, AL 35630-5730 · (256) 766-1401 · Fax (256) 766-1402
Fax(256) 766-1402
Organization SubpartNo
Authorized OfficialRajesh BoorguMd/owner · (256) 766-1401
Enumeration DateAugust 13, 2021
NPPES CertifiedAugust 13, 2021
✔ NPI 1205501996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
201 AVALON AVE, Muscle Shoals, AL 35661

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)

Rajesh Boorgu Md, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

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
StateAlabamaEnrollment IDO20211207000725Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
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 Rajesh Boorgu MD, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nephrology
NPI 1033117817
422 E DR HICKS BLVD
Florence, AL 35630
(256) 766-1401
✔ PECOS✔ Accepts Medicare3.6 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 Rajesh Boorgu MD, LLC's NPI number?

The NPI number for Rajesh Boorgu MD, LLC is 1205501996. It was assigned to this organization in the NPPES registry on August 13, 2021.

Where is Rajesh Boorgu MD, LLC located?

Rajesh Boorgu MD, LLC is located at 201 Avalon Ave, Muscle Shoals, AL 35661. The listed phone number is (256) 766-1401.

What is Rajesh Boorgu MD, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Rajesh Boorgu MD, LLC enrolled in Medicare?

Yes. Rajesh Boorgu MD, LLC is registered in the Medicare PECOS enrollment system.

When is Rajesh Boorgu MD, LLC'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 (Alabama, Clinic/Group Practice) is due for revalidation by December 31, 2026. 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 Rajesh Boorgu MD, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Rajesh Boorgu MD, LLC. 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 Rajesh Boorgu MD, LLC was last updated on August 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.