RAJARATNAM SKANTHARAJA (MD) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1154542298

RAJARATNAM SKANTHARAJA (MD) is a healthcare provider. based in Modesto, California. specializing in THORACIC SURGERY. They hold the professional credentials MD. They hold a License No. D0065489 (MD). The NPI Number for RAJARATNAM SKANTHARAJA (MD) is 1154542298

Main info

Male
54 Years Of Experience
Accepts Medicare Assignment
Name
RAJARATNAM SKANTHARAJA (MD)
NPI
1154542298
Phone
(209) 521-6097
Address
600 COFFEE RD
Enumeration Date
2 May 2007
Last Update Date
31 March 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2095264500
Graduation Year
1972 (54 years ago)
PAC ID
7517921224
Group Practice PAC ID
9830094515
Professional Enrollment ID
I20140501002189
Address ID
CA953552803MO1700XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

489 THORACIC SURGERY in CA

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Provider Addresses for RAJARATNAM SKANTHARAJA (MD)

  • 600, Coffee Road, Modesto, Stanislaus County, California, 95355, United States

    MODESTO, CA 953554201

    Phone: (209) 521-6097

    Type: Mailing

  • 1501, Oakdale Road, Modesto, Stanislaus County, California, 95355, United States

    SUITE 218

    MODESTO, CA 953553381

    Phone: (209) 572-4222

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-05-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140501002189IThoracic SurgeryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
33533Coronary artery bypass using artery graft, 1 graft2222$0
View full utilization report →

Insurance plans in this area (ZIP 95355)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830094515View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Internal MedicineCA
-CA
Family PracticeCA
-CA
-CA
Allergy/Immunology, RheumatologyCA
Physician AssistantCA
Physician AssistantCA

Reviews

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Frequently asked questions

Can I cross-check RAJARATNAM SKANTHARAJA (MD) using NPI 1154542298?
NPI 1154542298 belongs to RAJARATNAM SKANTHARAJA (MD); compare other details if you need extra assurance.
Would RAJARATNAM SKANTHARAJA (MD) appear as active to a payer?
You can treat RAJARATNAM SKANTHARAJA (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for RAJARATNAM SKANTHARAJA (MD)?
At a glance, RAJARATNAM SKANTHARAJA (MD) is tied to Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with RAJARATNAM SKANTHARAJA (MD)?
Directory geography for RAJARATNAM SKANTHARAJA (MD) centers on Modesto, California.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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