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DR. SAI KRISHNA SURAPA RAJU M.D
NPI 1710366893
Pediatrics - Pediatric Critical Care Medicine in Portland, ME

Active since May 22, 2015PECOS Enrolled
71.01/100
CMS Quality Rating
22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-2273 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 24, 2020, Oct 25, 2016 (2 updates tracked since 2016).

About Dr. Sai Krishna Surapa Raju M.d NPPES

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

DR. SAI KRISHNA SURAPA RAJU M.D (NPI 1710366893) is an individual pediatric critical care medicine provider in Portland, Maine, licensed in Maine (MD28644) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Austin.

NPPES Registry Identity

NPI1710366893
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. SAI KRISHNA SURAPA RAJUCredential: M.D
Location Address22 BRAMHALL STPortland, ME 04102-3134
Mailing Address22 Bramhall StPortland, ME 04102-3134 · (207) 662-2273
Phone(207) 662-2273
Sole ProprietorYes
Enumeration DateMay 22, 2015
Last NPPES UpdateNovember 25, 20242 updates tracked since enumeration
NPPES CertifiedNovember 25, 2024
✔ NPI 1710366893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
Licenses✔ Licensed in ME · MD28644✔ Licensed in TX · S7149
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
22 BRAMHALL ST, Portland, ME 04102
Open in Google Maps ↗

Secondary Practice Location 1

Location 14900 Mueller BlvdAustin, TX 78723-3079 · Phone (512) 324-0000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sendero Health Plans, Local Nonprofit.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sai Krishna Surapa Raju M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

3

Medicare enrollment records show Sai Krishna Surapa Raju reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mainehealth
Same address
Infectious Disease
22 BRAMHALL ST
Portland, ME 04102
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 clinicians in this Medicare group
NPI 1073701157 (207) 662-3067
University Of Alabama Health Services Foundation, PC
1,122 mi
Clinical Medical Laboratory
720 20TH STREET SOUTH
Birmingham, AL 35294
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group
NPI 1366638330 (205) 934-4983
Dell Children's Medical Group
1,754 mi
Pediatrics
1000 HESTERS CROSSING RD
Round Rock, TX 78681
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Dell Childrens Medical Group
  • 576 clinicians in this Medicare group
NPI 1790103869 (512) 628-1800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

71.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.21
Promoting Interoperability97
Improvement Activities40
Cost13.61

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.

ABBY LYNN LABRECQUE PA-C
Physician Assistant (Medical)
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-8111
TEGAN SWIFT RD
Dietitian, Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-4238
DEREK POULIN DO
Anesthesiology
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-2526
MATTHEW SCOTT AUSTIN CRNA
Nurse Anesthetist, Certified Registered
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-2526
MADELINE YOUNGBERG MD
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111
ERICA BRASLEY MD
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111
REBECCA ROSE LIGHTMAN
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-7060
DR. LUKE PATRICK KEFFER MD, MBA
Student in an Organized Health Care Education/Training Program
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-0111

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 Sai Krishna Surapa Raju's NPI number?

The NPI number for Sai Krishna Surapa Raju is 1710366893. It was assigned to this individual provider in the NPPES registry on May 22, 2015.

Where is Sai Krishna Surapa Raju located?

Sai Krishna Surapa Raju practices at 22 Bramhall St, Portland, ME 04102. The listed phone number is (207) 662-2273.

What is Sai Krishna Surapa Raju's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Sai Krishna Surapa Raju enrolled in Medicare?

Yes. Sai Krishna Surapa Raju is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sai Krishna Surapa Raju's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sai Krishna Surapa Raju reassigns Medicare benefits to 3 organizations: Mainehealth (Portland, ME), University Of Alabama Health Services Foundation, PC (Birmingham, AL) and Dell Children's Medical Group (Round Rock, TX). Each 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 Sai Krishna Surapa Raju's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sai Krishna Surapa Raju accept?

Health plans from Sendero Health Plans, Local Nonprofit list Sai Krishna Surapa Raju 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 Sai Krishna Surapa Raju was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.