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RAJAM RAGHUNATHAN MD, PHD
NPI 1952004723
Surgery in New York, NY

Active since March 22, 2023PECOS EnrolledAccepts Medicare Assignment
530 1ST AVE FL 12, NEW YORK, NY 10016(212) 263-7710(212) 263-2828 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1952004723
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameRAJAM RAGHUNATHANCredential: MD, PHD
Location Address530 1ST AVE FL 12New York, NY 10016-6402
Mailing Address530 1st Ave Fl 12New York, NY 10016-6402 · (212) 263-7710 · Fax (212) 263-2828
Phone(212) 263-7710
Fax(212) 263-2828
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 22, 2023
Last NPPES UpdateDecember 18, 2023
NPPES CertifiedDecember 18, 2023
✔ NPI 1952004723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 322818
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
530 1ST AVE FL 12, New York, NY 10016
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Secondary Practice Location 1

Location 110833 Le Conte Avenue, 72-227 CHSLos Angeles, CA 90095 · Phone (310) 267-7838 · Fax (310) 267-8632

Accepted Insurance

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

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.

PECOS PAC ID9133581598
PECOS Enrollment IDI20250925003322
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.

Hospital Affiliations CMS Care Compare

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

Wilcox Memorial Hospital

Acute Care Hospitals · Lihue, HI
2/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number120014
Location3-3420 Kuhio HighwayLihue, HI 96766 · Kauai County
Emergency services Birthing friendly

Physician 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.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

Other Providers at the Same Location NPPES 3

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

MARIE LAURENCE FLEURY
Surgery (Surgical Critical Care)
530 1ST AVE FL 12
NEW YORK, NY 10016
New York County (212) 263-7302
MR. XAVIER PEREIRA M.D.
Surgery
530 1ST AVE FL 12
NEW YORK, NY 10016
New York County (212) 263-7302
DR. PARESH C SHAH M.D.
Surgery
530 1ST AVE FL 12
NEW YORK, NY 10016
New York County (212) 263-7302

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.

What insurance does Rajam Raghunathan accept?

Health plans from HMSA 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.

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.