DR. NEERAJ KUMAR RAGHUNATH (MD) – Pediatric Gastroenterology Physician, NPI 1275855595

DR. NEERAJ KUMAR RAGHUNATH (MD) is a healthcare provider. based in Hialeah, Florida. specializing in PEDIATRIC MEDICINE, GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. 247500 (NY). The NPI Number for DR. NEERAJ KUMAR RAGHUNATH (MD) is 1275855595

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. NEERAJ KUMAR RAGHUNATH (MD)
NPI
1275855595
Phone
(305) 556-4263
Address
7100 W 20th Ave Ste 616
Enumeration Date
1 March 2010
Last Update Date
3 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3052701113
Graduation Year
2004 (22 years ago)
PAC ID
4284805045
Group Practice PAC ID
3678536240
Professional Enrollment ID
I20110927000792
Address ID
FL330337600HO975XXWAYX318
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:16State licenses:2Digital endpointsOther names

1,309 PEDIATRIC MEDICINE in FL

Provider Addresses for DR. NEERAJ KUMAR RAGHUNATH (MD)

  • 7100 W 20th Ave Ste 616

    Hialeah, FL 330161814

    Phone: (305) 556-4263

    Type: Location

  • 5955, Ponce de Leon Boulevard, Coral Gables, Miami-Dade County, Florida, 33146, United States

    CORAL GABLES, FL 33146

    Phone: (305) 661-1515

    Fax: (305) 662-3723

    Type: Mailing

  • 1150, North 35th Avenue, West Hollywood, Hollywood, Broward County, Florida, 33021, United States

    SUITE 545

    HOLLYWOOD, FL 330215424

    Phone: (954) 967-9400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 73 Open Payments records for all available years, with a total value of $1,976.

Total Amount is formed as General ($1,976) + Research ($0) + Ownership ($0) = $1,976.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Janssen Biotech, Inc. ($306).

Total Amount

$1,976

General + Research + Ownership

Payments

73

Total payment records

General Amount

$1,976

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-09-27

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
I20110927000792IPediatric MedicineFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33016)

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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: 3678536240View full group profile
NameSpecialtyState
Pediatric MedicineFL
Gastroenterology, Pediatric MedicineFL
Pediatric MedicineFL
Pediatric MedicineFL
Pediatric MedicineFL
Pediatric MedicineFL
Pediatric MedicineOK
O B S T E T R I C S/ G Y N E C O L O G YFL
Pediatric Medicine, EndocrinologyFL
Pediatric MedicineFL

Reviews

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Frequently asked questions

What NPI should I save for DR. NEERAJ KUMAR RAGHUNATH (MD)?
Save NPI 1275855595 if you need a stable reference for DR. NEERAJ KUMAR RAGHUNATH (MD).
Does this profile mean DR. NEERAJ KUMAR RAGHUNATH (MD) is currently active?
Yes — DR. NEERAJ KUMAR RAGHUNATH (MD) appears active in the national provider directory.
Does DR. NEERAJ KUMAR RAGHUNATH (MD) list a primary specialty?
If you are matching referrals, note Pediatric Gastroenterology Physician for DR. NEERAJ KUMAR RAGHUNATH (MD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. NEERAJ KUMAR RAGHUNATH (MD)?
The snapshot lists Hialeah, Florida for DR. NEERAJ KUMAR RAGHUNATH (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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