DR. SURENDRA HARIDAS RAYTHATHA (MD) – Family Medicine Physician, NPI 1407054026

DR. SURENDRA HARIDAS RAYTHATHA (MD) is a healthcare provider. based in Cass city, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. SR040618 (MI). The NPI Number for DR. SURENDRA HARIDAS RAYTHATHA (MD) is 1407054026

Main info

Male
59 Years Of Experience
Accepts Medicare Assignment
Name
DR. SURENDRA HARIDAS RAYTHATHA (MD)
NPI
1407054026
Phone
(989) 872-5010
Address
4672 HILL ST
Enumeration Date
5 July 2007
Last Update Date
4 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8326448930120
Graduation Year
1967 (59 years ago)
PAC ID
6800799032
Group Practice PAC ID
6305184011
Professional Enrollment ID
I20210607000190
Address ID
TX773384559HU18980DRXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

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Provider Addresses for DR. SURENDRA HARIDAS RAYTHATHA (MD)

  • 4672, Hill Street, Cass City, Elkland Township, Tuscola County, Michigan, 48726, United States

    CASS CITY, MI 487261028

    Phone: (989) 872-5010

    Fax: (989) 872-9942

    Type: Location

  • 18980 W MEMORIAL DR STE 100

    HUMBLE, TX 773384559

    Phone: (832) 644-8930

    Type: Mailing

  • 7821 FM 1960 RD E

    ATASCOCITA, TX 773462205

    Phone: (832) 644-8930

    Type: Location

  • 4672 Hill St

    Cass City, MI 487261028

    Phone: (989) 872-5010

    Fax: (989) 872-9942

    Type: Location

  • Hospital Drive Pharmacy, 6190, Hospital Drive, Cass City, Elkland Township, Tuscola County, Michigan, 48726, United States

    CASS CITY, MI 487261072

    Phone: (989) 872-5010

    Fax: (989) 872-9942

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $421.

Total Amount is formed as General ($421) + Research ($0) + Ownership ($0) = $421.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($101).

Total Amount

$421

General + Research + Ownership

Payments

11

Total payment records

General Amount

$421

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

Latest reported date

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: 2021-06-07

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
I20210607000190IFamily PracticeTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3934$0
99214Established patient office or other outpatient visit, 30-39 minutes3728$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1111$0
View full utilization report →

Insurance plans in this area (ZIP 48726)

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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: 6305184011View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)TX
Nurse PractitionerTX
Registered Dietitian Or Nutrition ProfessionalTX
-TX
Cardiovascular Disease (Cardiology), Interventional CardiologyTX
Family PracticeTX
Nurse PractitionerTX
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)TX
Cardiovascular Disease (Cardiology)IL
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyTX

Reviews

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Frequently asked questions

What NPI should I save for DR. SURENDRA HARIDAS RAYTHATHA (MD)?
Save NPI 1407054026 if you need a stable reference for DR. SURENDRA HARIDAS RAYTHATHA (MD).
Is DR. SURENDRA HARIDAS RAYTHATHA (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. SURENDRA HARIDAS RAYTHATHA (MD)?
The page reflects Family Medicine Physician for DR. SURENDRA HARIDAS RAYTHATHA (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. SURENDRA HARIDAS RAYTHATHA (MD)?
We surface Cass City, Michigan for DR. SURENDRA HARIDAS RAYTHATHA (MD) based on available NPPES addresses.
How can I contact DR. SURENDRA HARIDAS RAYTHATHA (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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