RAJA V THOTAKURA M.D.
NPI 1578794491
Internal Medicine - Gastroenterology in Fort Wayne, IN

Active since July 28, 2009
11104 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845(260) 266-5230 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 7, 2022, Jul 9, 2021, May 15, 2020 and 2 more (5 updates tracked since 2016).

About Raja V Thotakura M.d. NPPES

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

RAJA V THOTAKURA M.D. (NPI 1578794491) is an individual gastroenterology provider in Fort Wayne, Indiana, licensed in Indiana (01083873A) and active in the NPI registry since July 2009. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1578794491
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameRAJA V THOTAKURACredential: M.D.
Location Address11104 PARKVIEW CIRCLE DRFort Wayne, IN 46845-1672
Mailing Address1115 Se 164th Ave, Dept. 358Vancouver, WA 98683-9324 · (360) 729-1462 · Fax (360) 729-3104
Sole ProprietorNo
Enumeration DateJuly 28, 2009
Last NPPES UpdateOctober 7, 20225 updates tracked since enumeration
NPPES CertifiedOctober 7, 2022
NPI 1578794491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in IN · 01083873A Licensed in WA · MD60648172 Licensed in WI · 70108
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD60648172 (WA)
11104 PARKVIEW CIRCLE DR, Fort Wayne, IN 46845

Secondary Practice Locations 3

Location 11836 South AveLA Crosse, WI 54601-5429 · Phone (608) 782-7300
Location 21615 Delaware StLongview, WA 98632-2367 · Phone (360) 414-2730
Location 311104 Parkview Circle DrFort Wayne, IN 46845-1672 · Phone (260) 266-5230 · Fax (260) 266-5238

Other Identifiers 1

Medicaid2059422WA

Accepted Insurance

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.

Dietitian, Registered (Nutrition, Renal)
11104 PARKVIEW CIRCLE DR, SUITE 330
FORT WAYNE, IN 46845
Internal Medicine (Critical Care Medicine)
11104 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Internal Medicine (Pulmonary Disease)
11104 PARKVIEW CIRCLE DR, SUITE 410
FORT WAYNE, IN 46845
Nurse Practitioner (Family)
11104 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Internal Medicine (Nephrology)
11104 PARKVIEW CIRCLE DR, ENTRANCE 11, SUITE 330
FORT WAYNE, IN 46845
Non-Pharmacy Dispensing Site
11104 PARKVIEW CIRCLE DR, SUITE 110
FORT WAYNE, IN 46845
Internal Medicine (Gastroenterology)
11104 PARKVIEW CIRCLE DR, SUITE 310
FORT WAYNE, IN 46845
Internal Medicine (Nephrology)
11104 PARKVIEW CIRCLE DR, ENTRANCE 11, SUITE 330
FORT WAYNE, IN 46845

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 Raja Thotakura's NPI number?

The NPI number for Raja Thotakura is 1578794491. It was assigned to this individual provider in the NPPES registry on July 28, 2009.

Where is Raja Thotakura located?

Raja Thotakura practices at 11104 Parkview Circle Dr, Fort Wayne, IN 46845. The listed phone number is (260) 266-5230.

What is Raja Thotakura's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

What insurance does Raja Thotakura accept?

Health plans from CareSource list Raja Thotakura 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 Raja Thotakura was last updated on October 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.