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JOEL JOSEPH RAJU MD
NPI 1831766732
Internal Medicine in Decatur, TX

Active since June 08, 2021PECOS EnrolledAccepts Medicare Assignment
609 MEDICAL CENTER DR, DECATUR, TX 76234(940) 627-5921 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2024, Jun 9, 2021 (2 updates tracked since 2021).

About Joel Joseph Raju Md NPPES

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

JOEL JOSEPH RAJU MD (NPI 1831766732) is an individual internal medicine provider in Decatur, Texas, licensed in Pennsylvania (MT223694) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Faith Community Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1831766732
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOEL JOSEPH RAJUCredential: MD
Location Address609 MEDICAL CENTER DRDecatur, TX 76234-3836
Mailing Address609 Medical Center DrDecatur, TX 76234-3836
Phone(940) 627-5921
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 8, 2021
Last NPPES UpdateJuly 9, 20242 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1831766732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MT223694
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
609 MEDICAL CENTER DR, Decatur, TX 76234
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joel Joseph Raju 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 ID4587066634
PECOS Enrollment IDI20240808002033
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 Reassignment

Medicare enrollment records show Joel Raju reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Questcare Hospitalists PLLC
52 mi
Emergency Medicine
7777 FOREST LN
Dallas, TX 75230
  • Reassigned Medicare billing, Texas enrollment
  • 486 clinicians in this Medicare group
NPI 1265441620 (954) 939-5000

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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
125 services62 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
61 services59 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
49 services27 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
48 services46 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
23 services14 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Faith Community Hospital

Acute Care Hospitals · Jacksboro, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450241
Location215 Chisholm TrailJacksboro, TX 76458 · Jack County
Emergency services

Medical City Denton

Acute Care Hospitals · Denton, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450634
Location3535 South I35 EastDenton, TX 76210 · Denton County
Emergency services

Medical City Dallas Hospital

Acute Care Hospitals · Dallas, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450647
Location7777 Forest LaneDallas, TX 75230 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76234 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

TYLER G COMANS
Nurse Anesthetist, Certified Registered
609 MEDICAL CENTER DR
DECATUR, TX 76234
Wise County (940) 627-5921
MRS. DONNA JEANNE STOWERS RPH
Pharmacist
609 MEDICAL CENTER DR
DECATUR, TX 76234
Wise County (940) 626-1263
DECATUR HOSPITAL AUTHORITY
General Acute Care Hospital
609 MEDICAL CENTER DR
DECATUR, TX 76234
Wise County (940) 627-5921
TIFFANY LYNN MASSIE CRNA
Nurse Anesthetist, Certified Registered
609 MEDICAL CENTER DR
DECATUR, TX 76234
Wise County (940) 627-5921
WISE COUNTY ANESTHESIA ASSOCIATES
Specialist
609 MEDICAL CENTER DR
DECATUR, TX 76234
Wise County (940) 627-5921
DWAYNE EMMONS CRNA
Nurse Anesthetist, Certified Registered
609 MEDICAL CENTER DR
DECATUR, TX 76234
Wise County (940) 627-5921
MRS. ANDREA M MORRIS
Physical Therapy Assistant
609 MEDICAL CENTER DR
DECATUR, TX 76234
Wise County (940) 626-1360
CHARLES EDWARD BELL APRN FNP
Nurse Practitioner
609 MEDICAL CENTER DR
DECATUR, TX 76234
Wise County (940) 626-2430

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 Joel Raju's NPI number?

The NPI number for Joel Raju is 1831766732. It was assigned to this individual provider in the NPPES registry on June 8, 2021.

Where is Joel Raju located?

Joel Raju practices at 609 Medical Center Dr, Decatur, TX 76234. The listed phone number is (940) 627-5921.

What is Joel Raju's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Joel Raju enrolled in Medicare?

Yes. Joel Raju 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.

Which organization bills Medicare for Joel Raju's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joel Raju reassigns Medicare benefits to Questcare Hospitalists PLLC (Dallas, TX). The 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 Joel Raju's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joel Raju accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Joel 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.

Is Joel Raju affiliated with any hospitals?

According to CMS data, Joel Raju is affiliated with Faith Community Hospital, Medical City Denton and Medical City Dallas Hospital.

When was this NPI record last updated?

The NPPES record for Joel Raju was last updated on July 9, 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.