DR. LEELA VADREVU RAJU M.D.
NPI 1972705069
Ophthalmology in New York, NY

Active since June 01, 2007PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
222 E 41ST ST, NEW YORK, NY 10017(718) 834-1976 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 2, 2024, Mar 26, 2021 (2 updates tracked since 2021).

About Dr. Leela Vadrevu Raju M.d. NPPES

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

DR. LEELA VADREVU RAJU M.D. (NPI 1972705069) is an individual ophthalmology provider in New York, New York, licensed in Louisiana (343287) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with University Medical Center New Orleans, and is a graduate of Jc Edwards School Of Medicine, Marshall University (2003).

NPPES Registry Identity

NPI1972705069
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. LEELA VADREVU RAJUCredential: M.D.
Location Address222 E 41ST STNew York, NY 10017-6739
Mailing Address222 E 41st StNew York, NY 10017-6739
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 2003
Enumeration DateJune 1, 2007
Last NPPES UpdateAugust 2, 20242 updates tracked since enumeration
NPPES CertifiedAugust 2, 2024
✔ NPI 1972705069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in LA · 343287✔ Licensed in PA · MD438077✔ Licensed in NY · NY277202✔ Licensed in WV · 23808
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
222 E 41ST ST, New York, NY 10017

Other Identifiers 1

Other165836FFFPA · Medicare Provider

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

Dr. Leela Vadrevu 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 ID4789721481
PECOS Enrollment IDI20240722004042, I20240815004723
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 Reassignments

4

Medicare enrollment records show Leela Raju reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
2100 STANTONSBURG RD
Greenville, NC 27834
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,653 clinicians in this Medicare group
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
Specialist
200 HOSPITAL DR W
Hattiesburg, MS 39402
  • Reassigned Medicare billing, Louisiana enrollment
  • 851 clinicians in this Medicare group
Specialist
200 HENRY CLAY AVE
New Orleans, LA 70118
  • Reassigned Medicare billing, Louisiana enrollment
  • 98 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.

Areas of Expertise CMS Part B claims 7

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
82 services82 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
65 services65 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
19 services19 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
16 services11 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
16 services16 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

University Medical Center New Orleans

Acute Care Hospitals · New Orleans, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190005
Location2000 Canal StreetNew Orleans, LA 70112 · Orleans County
Emergency services

East Jefferson General Hospital

Acute Care Hospitals · Metairie, LA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number190176
Location4200 Houma BlvdMetairie, LA 70006 · Jefferson County
Emergency services Birthing friendly

Ecu Health Medical Center

Acute Care Hospitals · Greenville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340040
Location2100 Stantonsburg RdGreenville, NC 27834 · Pitt County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10017 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
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.

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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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.

Nurse Practitioner (Family)
222 E 41ST ST
NEW YORK, NY 10017
Urology
222 E 41ST ST
NEW YORK, NY 10017
Speech-Language Pathologist
222 E 41ST ST
NEW YORK, NY 10017
Psychiatry & Neurology (Epilepsy)
222 E 41ST ST
NEW YORK, NY 10017
Nurse Practitioner (Primary Care)
222 E 41ST ST
NEW YORK, NY 10017
Psychiatry & Neurology (Neurology)
222 E 41ST ST
NEW YORK, NY 10017
Optometrist
222 E 41ST ST
NEW YORK, NY 10017
Nurse Practitioner (Adult Health)
222 E 41ST ST
NEW YORK, NY 10017

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 Leela Raju's NPI number?

The NPI number for Leela Raju is 1972705069. It was assigned to this individual provider in the NPPES registry on June 1, 2007.

Where is Leela Raju located?

Leela Raju practices at 222 E 41st St, New York, NY 10017. The listed phone number is (718) 834-1976.

What is Leela Raju's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Leela Raju enrolled in Medicare?

Yes. Leela 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 organizations bill Medicare for Leela Raju's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leela Raju reassigns Medicare benefits to 4 organizations: Vidant Medical Group LLC (Greenville, NC), New York University (Boynton Beach, FL), Administrators Of The Tulane Educational Fund (Hattiesburg, MS) and Children's Hospital (New Orleans, LA). 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 Leela Raju's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leela Raju accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross Blue Shield of Wyoming and 3 other insurers list Leela 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 Leela Raju affiliated with any hospitals?

According to CMS data, Leela Raju is affiliated with University Medical Center New Orleans, East Jefferson General Hospital and Ecu Health Medical Center.

When was this NPI record last updated?

The NPPES record for Leela Raju was last updated on August 2, 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.