1. Home
  2. Directory
  3. Oklahoma
  4. City
  5. Hospitalist
  6. NPI Profile

SENTHIL K RAJU M.D.
NPI 1922009075
Hospitalist in Oklahoma City, OK

Active since August 10, 2005PECOS EnrolledAccepts Medicare Assignment
82.49/100
CMS Quality Rating
4220 N CLASSEN BLVD STE A, OKLAHOMA CITY, OK 73118(405) 513-4591(405) 493-8506 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 18, 2025, Aug 9, 2021 (2 updates tracked since 2021).

About Senthil K Raju M.d. NPPES

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

SENTHIL K RAJU M.D. (NPI 1922009075) is an individual hospitalist provider in Oklahoma City, Oklahoma, licensed in Oklahoma (26716) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Norman Regional, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1922009075
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSENTHIL K RAJUCredential: M.D.
Location Address4220 N CLASSEN BLVD STE AOklahoma City, OK 73118-2434
Mailing Address4220 N Classen Blvd Ste AOklahoma City, OK 73118-2434 · (405) 513-4591 · Fax (405) 493-8506
Phone(405) 513-4591
Fax(405) 493-8506
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 10, 2005
Last NPPES UpdateFebruary 18, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
✔ NPI 1922009075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in OK · 26716
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 4301078867 (MI), 26716 (OK)
4220 N CLASSEN BLVD STE A, Oklahoma City, OK 73118
Open in Google Maps ↗

Other Identifiers 2

Medicaid200220110AOK
Medicaid4700802MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Senthil K 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 ID3779560719
PECOS Enrollment IDI20090122000126
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.

Areas of Expertise CMS Part B claims 12

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 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.
630 services176 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
555 services288 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
352 services182 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
213 services202 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.
190 services187 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
135 services77 patients

Hospital Affiliations CMS Care Compare 4

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

Norman Regional

Acute Care Hospitals · Norman, OK
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370008
Location3300 Healthplex PkwyNorman, OK 73072 · Cleveland County
Emergency services Birthing friendly

Mercy Hospital Oklahoma City, Inc

Acute Care Hospitals · Oklahoma City, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370013
Location4300 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County
Emergency services Birthing friendly

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370037
Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County
Emergency services Birthing friendly

Oklahoma Center For Orthopaedic & Multi-Sp

Acute Care Hospitals · Oklahoma City, OK
OwnershipVoluntary non-profit - Private
CMS Certification Number370212
Location8100 South Walker Bldg COklahoma City, OK 73139 · Oklahoma County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73118 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

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.

82.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost19.1

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%33 patients5/55-star benchmark: 100%
Coronary Artery Disease (CAD): Antiplatelet Therapy
Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease (CAD) seen within a 12 month period who were prescribed aspirin or clopidogrel
100%20 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%53 patients5/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers12 claims12 services$17.89 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers17 claims17 services$887.01 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers34 claims34 services$71.33 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$33.28 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SPECTRUM REHAB SPECIALISTS, LLC
Hospitalist
4220 N CLASSEN BLVD STE A
OKLAHOMA CITY, OK 73118
Oklahoma County (405) 768-5749
SPECTRUM HEALTHCARE SOLUTIONS, PLLC
Family Medicine (Geriatric Medicine)
4220 N CLASSEN BLVD STE A
OKLAHOMA CITY, OK 73118
Oklahoma County (405) 769-5749
STRIDE PODIATRIC HEALTH, LLC
Podiatrist
4220 N CLASSEN BLVD STE A
OKLAHOMA CITY, OK 73118
Oklahoma County (405) 768-5749
TKMD LLC
Psychiatry & Neurology (Psychiatry)
4220 N CLASSEN BLVD STE A
OKLAHOMA CITY, OK 73118
Oklahoma County (405) 768-5749

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 Senthil Raju's NPI number?

The NPI number for Senthil Raju is 1922009075. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Senthil Raju located?

Senthil Raju practices at 4220 N Classen Blvd Ste A, Oklahoma City, OK 73118. The listed phone number is (405) 513-4591.

What is Senthil Raju's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Senthil Raju enrolled in Medicare?

Yes. Senthil 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.

What insurance does Senthil Raju accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and UnitedHealthcare list Senthil 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 Senthil Raju affiliated with any hospitals?

According to CMS data, Senthil Raju is affiliated with Norman Regional, Mercy Hospital Oklahoma City, Inc, Ssm Health St Anthony Hospital - Oklahoma City and Oklahoma Center For Orthopaedic & Multi-Sp.

When was this NPI record last updated?

The NPPES record for Senthil Raju was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.