DR. PRAVEEN B. RAJU MD PHD
NPI 1477710069
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in San Diego, CA
About Dr. Praveen B. Raju Md Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PRAVEEN B. RAJU MD PHD (NPI 1477710069) is an individual neurology with special qualifications in child neurology provider in San Diego, California, licensed in California (C194532) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in New York.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Praveen B. Raju Md Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAN DIEGO, CA 92123
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 Praveen Raju's NPI number?
The NPI number for Praveen Raju is 1477710069. It was assigned to this individual provider in the NPPES registry on May 21, 2008.
Where is Praveen Raju located?
Praveen Raju practices at 3030 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-5819.
What is Praveen Raju's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.
Is Praveen Raju enrolled in Medicare?
Yes. Praveen Raju is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Praveen Raju was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Praveen B. Raju, MD PHD · NPI 1477710069
Neurology with Special Qualifications in Child Neurology physician in San Diego, California. Individual provider, active in the CMS NPPES registry since May 21, 2008.
## Identity
- **NPI:** 1477710069 (Entity type: Individual)
- **Enumerated:** May 21, 2008
- **Primary specialty:** Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology · taxonomy 2084N0402X
- **State license:** C194532 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3030 CHILDRENS WAY, San Diego, CA 92123-4232
- **Phone:** (858) 966-5819
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1477710069) · Data from the CMS NPPES public registry.