DR. RAGHU D GANJAM (M.D.) – Internal Medicine Physician, NPI 1558304261

DR. RAGHU D GANJAM (M.D.) is a healthcare provider. based in Orlando, Florida. specializing in INTERNAL MEDICINE, ADDICTION MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME87933 (FL). The NPI Number for DR. RAGHU D GANJAM (M.D.) is 1558304261

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. RAGHU D GANJAM (M.D.)
NPI
1558304261
Phone
(407) 445-9545
Address
1507 S HIAWASSEE RD
Enumeration Date
13 June 2006
Last Update Date
13 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4074459545222
Graduation Year
1991 (35 years ago)
PAC ID
7315840188
Group Practice PAC ID
5799115713
Professional Enrollment ID
I20040129000355
Address ID
FL328355719OR1507XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

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Provider Addresses for DR. RAGHU D GANJAM (M.D.)

  • 1507, Hiawassee Road, Orlando, Orange County, Florida, 32835, United States

    SUITE 107

    ORLANDO, FL 328355718

    Phone: (407) 445-9545

    Fax: (407) 445-9365

    Mailing address matches the actual address.

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: 2004-01-29

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
I20040129000355IInternal 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes906330$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes10395$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3937$0
99238Hospital discharge day management, 30 minutes or less2727$0
View full utilization report →

Insurance plans in this area (ZIP 32835)

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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: 5799115713View full group profile
NameSpecialtyState
Nurse PractitionerFL
-FL
Nurse PractitionerFL
Physician AssistantFL
Physician AssistantFL
Nurse PractitionerFL
Internal MedicineFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Does DR. RAGHU D GANJAM (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. RAGHU D GANJAM (M.D.) uses 1558304261.
Can I rely on DR. RAGHU D GANJAM (M.D.) being an active provider?
As of the registry snapshot, DR. RAGHU D GANJAM (M.D.) is marked active.
What is DR. RAGHU D GANJAM (M.D.) best known for clinically?
Directory data describes DR. RAGHU D GANJAM (M.D.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does DR. RAGHU D GANJAM (M.D.) serve?
DR. RAGHU D GANJAM (M.D.)'s listing highlights Orlando, Florida; more addresses can appear in NPPES.
Why does DR. RAGHU D GANJAM (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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