MR. KARAN RAGHAVAN MD
NPI 1518596683
Family Medicine in Columbus, GA

Active since April 02, 2020PECOS EnrolledAccepts Medicare Assignment
1900 10TH AVE STE 100, COLUMBUS, GA 31901(706) 571-1430 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mr. Karan Raghavan Md NPPES

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

MR. KARAN RAGHAVAN MD (NPI 1518596683) is an individual family medicine provider in Columbus, Georgia, licensed in Georgia (96972) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1518596683
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. KARAN RAGHAVANCredential: MD
Location Address1900 10TH AVE STE 100Columbus, GA 31901-3601
Mailing Address1900 10th Ave Ste 100Columbus, GA 31901-3601 · (706) 571-1430
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 2, 2020
Last NPPES UpdateMarch 1, 2024
NPPES CertifiedMarch 1, 2024
✔ NPI 1518596683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 96972
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.
1900 10TH AVE STE 100, Columbus, GA 31901

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Karan Raghavan Md 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 ID6800206251
PECOS Enrollment IDI20240418001343
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.

Areas of Expertise CMS Part B claims 6

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
106 services45 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.
101 services55 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.
49 services33 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
35 services19 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
17 services14 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Paulding Medical Center

Acute Care Hospitals · Hiram, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110042
Location2518 Jimmy Lee Smith ParkwayHiram, GA 30141 · Paulding County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31901 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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.

Student in an Organized Health Care Education/Training Program
1900 10TH AVE STE 100
COLUMBUS, GA 31901
Family Medicine
1900 10TH AVE STE 100
COLUMBUS, GA 31901
Student in an Organized Health Care Education/Training Program
1900 10TH AVE STE 100
COLUMBUS, GA 31901
Family Medicine
1900 10TH AVE STE 100
COLUMBUS, GA 31901
Student in an Organized Health Care Education/Training Program
1900 10TH AVE STE 100
COLUMBUS, GA 31901
Student in an Organized Health Care Education/Training Program
1900 10TH AVE STE 100
COLUMBUS, GA 31901
Family Medicine
1900 10TH AVE STE 100
COLUMBUS, GA 31901
Student in an Organized Health Care Education/Training Program
1900 10TH AVE STE 100
COLUMBUS, GA 31901

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 Karan Raghavan's NPI number?

The NPI number for Karan Raghavan is 1518596683. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Karan Raghavan located?

Karan Raghavan practices at 1900 10th Ave Ste 100, Columbus, GA 31901. The listed phone number is (706) 571-1430.

What is Karan Raghavan's specialty?

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

Is Karan Raghavan enrolled in Medicare?

Yes. Karan Raghavan 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.

Is Karan Raghavan affiliated with any hospitals?

According to CMS data, Karan Raghavan is affiliated with Wellstar Kennestone Regional Medical Center and Wellstar Paulding Medical Center.

When was this NPI record last updated?

The NPPES record for Karan Raghavan was last updated on March 1, 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.