RAJAM RAGHUNATHAN MD, PHD
NPI 1952004723
Surgery in New York, NY
About Rajam Raghunathan Md, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAJAM RAGHUNATHAN MD, PHD (NPI 1952004723) is an individual surgery provider in New York, New York, licensed in New York (322818) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Wilcox Memorial Hospital, and maintains a secondary practice location in Los Angeles.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Rajam Raghunathan Md, Phd 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.
Medicare Billing Reassignments
2Medicare enrollment records show Rajam Raghunathan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 7,712 clinicians in this Medicare group
Lihue, HI 96766
- Reassigned Medicare billing, Hawaii enrollment
- 298 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wilcox Memorial Hospital
Acute Care Hospitals · Lihue, HISamuel Mahelona Memorial Hospital
Critical Access Hospitals · Kapaa, HIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Rajam Raghunathan's NPI number?
The NPI number for Rajam Raghunathan is 1952004723. It was assigned to this individual provider in the NPPES registry on March 22, 2023.
Where is Rajam Raghunathan located?
Rajam Raghunathan practices at 530 1st Ave Fl 12, New York, NY 10016. The listed phone number is (212) 263-7710.
What is Rajam Raghunathan's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Rajam Raghunathan enrolled in Medicare?
Yes. Rajam Raghunathan 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 organizations bill Medicare for Rajam Raghunathan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rajam Raghunathan reassigns Medicare benefits to 2 organizations: New York University (Boynton Beach, FL) and Kauai Medical Clinic (Lihue, HI). 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 Rajam Raghunathan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rajam Raghunathan accept?
Health plans from HMSA and Kaiser Permanente list Rajam Raghunathan 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 Rajam Raghunathan affiliated with any hospitals?
According to CMS data, Rajam Raghunathan is affiliated with Wilcox Memorial Hospital and Samuel Mahelona Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Rajam Raghunathan was last updated on December 18, 2023. 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.
# Rajam Raghunathan, MD, PHD · NPI 1952004723
Surgery physician in New York, New York. Individual provider, active in the CMS NPPES registry since March 22, 2023.
## Identity
- **NPI:** 1952004723 (Entity type: Individual)
- **Enumerated:** March 22, 2023
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 322818 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 530 1ST AVE FL 12, New York, NY 10016-6402
- **Phone:** (212) 263-7710 · **Fax:** (212) 263-2828
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): New York University (NPI 1285826438, Boynton Beach, FL); Kauai Medical Clinic (NPI 1376596643, Lihue, HI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** December 18, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1952004723) · Data from the CMS NPPES public registry.