DR. DANTULURI P RAJU (M.D.) – Adult Medicine Physician, NPI 1053316133

DR. DANTULURI P RAJU (M.D.) is a healthcare provider. based in Fort myers, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 34166 (FL). The NPI Number for DR. DANTULURI P RAJU (M.D.) is 1053316133

Main info

Male
Sole Proprietor
53 Years Of Experience
Accepts Medicare Assignment
Name
DR. DANTULURI P RAJU (M.D.)
NPI
1053316133
Phone
(877) 856-3774
Address
2675 WINKLER AVE FL 2
Enumeration Date
16 June 2005
Last Update Date
27 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3526221777
Graduation Year
1973 (53 years ago)
PAC ID
4789686379
Group Practice PAC ID
9830244433
Professional Enrollment ID
I20070212000166
Address ID
FL344710480OC2840XCTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

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Provider Addresses for DR. DANTULURI P RAJU (M.D.)

  • Winkler Avenue, Fort Myers, Lee County, Florida, 33966, United States

    FORT MYERS, FL 339019342

    Phone: (877) 856-3774

    Type: Mailing

  • Southeast 3rd Court, Ocala, Marion County, Florida, 34471:34474, United States

    OCALA, FL 344710480

    Phone: (352) 622-1777

    Fax: (352) 622-1929

    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: 2007-02-12

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
I20070212000166IFamily PracticeFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes303138$0
99213Established patient office or other outpatient visit, 20-29 minutes16077$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8585$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes7776$0
G0444Annual depression screening, 5 to 15 minutes7575$0
View full utilization report →

Insurance plans in this area (ZIP 33901)

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Provider's Procedures

DR. DANTULURI P RAJU (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEFL82270Stool analysis for blood to screen for colon tumors3232
FAMILY MEDICINEFL93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report1717

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: 9830244433View full group profile
NameSpecialtyState
Family PracticeFL
Nurse PractitionerFL
Family PracticeFL
-FL
-FL
-FL
-FL
Nurse PractitionerFL
-FL
Cardiovascular Disease (Cardiology), Internal MedicineFL

Reviews

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Frequently asked questions

Can I use this page to confirm DR. DANTULURI P RAJU (M.D.)'s NPI?
Yes. DR. DANTULURI P RAJU (M.D.) is listed with NPI 1053316133 in the public NPI dataset.
Is DR. DANTULURI P RAJU (M.D.) listed as active for patients and plans?
The listing shows DR. DANTULURI P RAJU (M.D.) as active in the NPI system.
What is DR. DANTULURI P RAJU (M.D.) best known for clinically?
Directory data describes DR. DANTULURI P RAJU (M.D.) with Adult Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. DANTULURI P RAJU (M.D.)?
DR. DANTULURI P RAJU (M.D.)'s geographic hint is Fort Myers, Florida in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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