PRIYA RAJU M.D.
NPI 1912319054
Obstetrics & Gynecology in Newport News, VA

Q: What is Priya Raju's NPI number?

The NPI number for Priya Raju is 1912319054. It was assigned to this individual provider in the NPPES registry on May 23, 2014.

Q: What is Priya Raju's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Priya Raju was last updated on May 9, 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.

Active since May 23, 2014PECOS EnrolledAccepts Medicare Assignment

10510 JEFFERSON AVE, SUITE D, NEWPORT NEWS, VA 23601(757) 594-4720(757) 594-4735 Get Directions Write a Review

NPPES record last updated: May 9, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Priya Raju M.d. NPPES

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

PRIYA RAJU M.D. (NPI 1912319054) is an individual obstetrics & gynecology provider in Newport News, Virginia, licensed in Virginia (0116026792) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Bon Secours St Marys Hospital, and is a graduate of Virginia Commonwealth University, School Of Medicine (2014).

NPPES Registry Identity

NPI1912319054

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NamePRIYA RAJUCredential: M.D.

Location Address10510 JEFFERSON AVE, SUITE DNewport News, VA 23601-3102

Mailing Address10510 Jefferson Ave, Suite DNewport News, VA 23601-3102 · (757) 594-4720 · Fax (757) 594-4735

Phone(757) 594-4720

Fax(757) 594-4735

Sole ProprietorNo

Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2014

Enumeration DateMay 23, 2014

Last NPPES UpdateMay 9, 2017

✔ NPI 1912319054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in VA · 0116026792

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

10510 JEFFERSON AVE, Newport News, VA 23601

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Priya Raju M.d. 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 ID8527384007

PECOS Enrollment IDI20180827000310

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 Priya Raju reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Privia Medical Group, LLC

132 mi

Internal Medicine

950 N GLEBE RD STE 700
Arlington, VA 22203

Reassigned Medicare billing, Virginia enrollment
1,315 clinicians in this Medicare group

NPI 1013042480 (571) 366-8850

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 4

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.

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

45 services45 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

45 services45 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

35 services35 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.

15 services13 patients

Hospital Affiliations CMS Care Compare

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

Bon Secours St Marys Hospital

Acute Care Hospitals · Richmond, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number490059

Location5801 Bremo RdRichmond, VA 23226 · Richmond City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23601 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

99%422 patients5/55-star benchmark: 99%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

98%161 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

3%699 patients1/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

100%695 patients5/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

66%695 patients3/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

73%695 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

CLARISSA ROSE LOMONACO MD

Pediatrics

10510 JEFFERSON AVE
NEWPORT NEWS, VA 23601

Newport News City (757) 594-3800

MARK WAYNE AUSTIN M.D.

Obstetrics & Gynecology

10510 JEFFERSON AVE, SUITE D
NEWPORT NEWS, VA 23601

Newport News City (757) 594-4720

DR. JEFFREY HARRIS D.O.

Family Medicine

10510 JEFFERSON AVE, SUITE A
NEWPORT NEWS, VA 23601

Newport News City (757) 594-3800

KEVIN MICHAEL MAHONEY D.O.

Obstetrics & Gynecology

10510 JEFFERSON AVE, STE D
NEWPORT NEWS, VA 23601

Newport News City (757) 594-4720

PATRICIA LEE GEYER WESSLER MD

Family Medicine

10510 JEFFERSON AVE, SUITE A
NEWPORT NEWS, VA 23601

Newport News City (757) 594-3800

DR. JOSEPH DANIEL BRADSHAW JR. D.O.

Family Medicine

10510 JEFFERSON AVE, SUITE A
NEWPORT NEWS, VA 23601

Newport News City (757) 594-3800

DR. SOUMYA SARANG SIDANA DO

Student in an Organized Health Care Education/Training Program

10510 JEFFERSON AVE
NEWPORT NEWS, VA 23601

Newport News City (757) 594-3800

RIVERSIDE HOSPITAL INC

Family Medicine

10510 JEFFERSON AVE, SUITES A
NEWPORT NEWS, VA 23601

Newport News City (757) 594-3800

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 Priya Raju's NPI number?

The NPI number for Priya Raju is 1912319054. It was assigned to this individual provider in the NPPES registry on May 23, 2014.

Where is Priya Raju located?

Priya Raju practices at 10510 Jefferson Ave Suite D, Newport News, VA 23601. The listed phone number is (757) 594-4720.

What is Priya Raju's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Priya Raju enrolled in Medicare?

Yes. Priya 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 Priya Raju's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priya Raju reassigns Medicare benefits to Privia Medical Group, LLC (Arlington, VA). 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 Priya Raju's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Priya Raju accept?

Health plans from Oscar Health list Priya 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 Priya Raju affiliated with any hospitals?

According to CMS data, Priya Raju is affiliated with Bon Secours St Marys Hospital.

When was this NPI record last updated?

The NPPES record for Priya Raju was last updated on May 9, 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.