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JAY S. RAJU M.D., INC.
NPI 1609132067
Specialist in San Jose, CA

Active since April 10, 2012
455 OCONNOR DR, SUITE 350, SAN JOSE, CA 95128(408) 297-2416(408) 297-0216 Get Directions Write a Review

NPPES record last updated: August 16, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jay S. Raju M.d., Inc. NPPES

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

JAY S. RAJU M.D., INC. (NPI 1609132067) is a healthcare organization registered as a specialist in San Jose, California and active in the NPI registry since April 2012. The organization lists Jagjit S Raju, Physician, as its authorized official.

NPPES Registry Identity

NPI1609132067
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJAY S. RAJU M.D., INC.
Location Address455 OCONNOR DR, SUITE 350San Jose, CA 95128-1633
Mailing Address455 Oconnor Dr, Suite 350San Jose, CA 95128-1633 · (408) 297-2416 · Fax (408) 297-0216
Phone(408) 297-2416
Fax(408) 297-0216
Organization SubpartNo
Authorized OfficialJagjit S RajuPhysician · (408) 297-2416
Enumeration DateApril 10, 2012
Last NPPES UpdateAugust 16, 2017
✔ NPI 1609132067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A335520
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
455 OCONNOR DR, San Jose, CA 95128
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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)

Jay S. Raju M.d., Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

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
StateCaliforniaEnrollment IDO20120605000255Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
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 Jay S. Raju M.D., Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Jagjit Raju, MD
Gastroenterology
NPI 1699706556
2030 FOREST AVE STE 100
San Jose, CA 95128
(408) 297-2416
✔ PECOS✔ Accepts Medicare0.3 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 Jay S. Raju M.D., Inc.'s NPI number?

The NPI number for Jay S. Raju M.D., Inc. is 1609132067. It was assigned to this organization in the NPPES registry on April 10, 2012.

Where is Jay S. Raju M.D., Inc. located?

Jay S. Raju M.D., Inc. is located at 455 Oconnor Dr Suite 350, San Jose, CA 95128. The listed phone number is (408) 297-2416.

What is Jay S. Raju M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Jay S. Raju M.D., Inc. enrolled in Medicare?

Yes. Jay S. Raju M.D., Inc. is registered in the Medicare PECOS enrollment system.

When is Jay S. Raju M.D., Inc.'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 (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. 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 Jay S. Raju M.D., Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to Jay S. Raju M.D., Inc.. 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 Jay S. Raju M.D., Inc. was last updated on August 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.