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DR. RAJU RAGHUNATH M.D
NPI 1225455207
Family Medicine in Irving, TX

Active since March 27, 2014PECOS EnrolledAccepts Medicare Assignment
2240 MARKET PLACE BLVD STE 140, IRVING, TX 75063(972) 677-3565(972) 895-4446 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 6, 2026, May 18, 2026, Mar 30, 2026 and 5 more (8 updates tracked since 2016).

About Dr. Raju Raghunath M.d NPPES

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

DR. RAJU RAGHUNATH M.D (NPI 1225455207) is an individual family medicine provider in Irving, Texas, licensed in Texas (Q6461) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1225455207
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RAJU RAGHUNATHCredential: M.D
Location Address2240 MARKET PLACE BLVD STE 140Irving, TX 75063-8098
Mailing Address2240 Market Place Blvd Ste 140Irving, TX 75063-8098 · (972) 677-3565 · Fax (972) 895-4446
Phone(972) 677-3565
Fax(972) 895-4446
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMarch 27, 2014
Last NPPES UpdateAugust 6, 20268 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
✔ NPI 1225455207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · Q6461
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2240 MARKET PLACE BLVD STE 140, Irving, TX 75063
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Raju Raghunath M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507154804
PECOS Enrollment IDI20161019000102
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 Reassignment

Medicare enrollment records show Raju Raghunath reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Trusted Primary Care PLLC
Same address
Family Medicine
2240 MARKET PLACE BLVD STE 140
Irving, TX 75063
  • Reassigned Medicare billing, Texas enrollment
NPI 1366397143 (972) 677-3565

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 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.
71 services57 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
69 services54 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
28 services26 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
19 services19 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
18 services18 patients
Administration of psychological or neuropsychological test by technician, first 30 minutes 96138
This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75063 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
93%57 patients4/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
75%53 patients4/55-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…
100%90 patients5/55-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
55%22 patients3/55-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.

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.

TRUSTED PRIMARY CARE PLLC
Family Medicine
2240 MARKET PLACE BLVD STE 140
IRVING, TX 75063
Dallas County (972) 677-3565
DR. SHIVAM DIPAK PATEL DDS
Dentist (General Practice)
2240 MARKET PLACE BLVD STE 140
IRVING, TX 75063
Dallas County (817) 629-9734
DR. NIKITA PATEL DMD
Dentist (General Practice)
2240 MARKET PLACE BLVD STE 140
IRVING, TX 75063
Dallas County (972) 534-6024

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 Raju Raghunath's NPI number?

The NPI number for Raju Raghunath is 1225455207. It was assigned to this individual provider in the NPPES registry on March 27, 2014.

Where is Raju Raghunath located?

Raju Raghunath practices at 2240 Market Place Blvd Ste 140, Irving, TX 75063. The listed phone number is (972) 677-3565.

What is Raju Raghunath's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Raju Raghunath enrolled in Medicare?

Yes. Raju Raghunath is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Raju Raghunath's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raju Raghunath reassigns Medicare benefits to Trusted Primary Care PLLC (Irving, TX). The 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 Raju Raghunath's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raju Raghunath 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 3 other insurers list Raju Raghunath 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 Raju Raghunath was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.