DR. RAJU RAGHUNATH (M.D) – Family Medicine Physician, NPI 1225455207

DR. RAJU RAGHUNATH (M.D) is a healthcare provider. based in Fort worth, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D. They hold a License No. BP10048379 (TX). The NPI Number for DR. RAJU RAGHUNATH (M.D) is 1225455207

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. RAJU RAGHUNATH (M.D)
NPI
1225455207
Phone
(817) 725-7880
Address
1000 W CANNON ST
Enumeration Date
27 March 2014
Last Update Date
30 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2146666259
Graduation Year
1999 (27 years ago)
PAC ID
6507154804
Group Practice PAC ID
5698194702
Professional Enrollment ID
I20161019000102
Address ID
TX750386513IR230XXBLVD500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:12State licenses:2Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for DR. RAJU RAGHUNATH (M.D)

  • 1000 W CANNON ST

    FORT WORTH, TX 761043029

    Phone: (817) 725-7880

    Fax: (817) 725-7885

    Type: Mailing

  • 9947 N MACARTHUR BLVD STE 150

    IRVING, TX 750634716

    Phone: (817) 406-2064

    Type: Location

  • 3224 I 30 Ste 137

    Mesquite, TX 751502675

    Phone: (214) 666-6259

    Type: Location

  • 230 O CONNOR RIDGE BLVD STE 110

    IRVING, TX 750386513

    Phone: (214) 666-6259

    Fax: (817) 725-7885

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $115.

Total Amount is formed as General ($115) + Research ($0) + Ownership ($0) = $115.

Last reported payment date: 2024-09-26 • Largest payer in this snapshot: PFIZER INC. ($49).

Total Amount

$115

General + Research + Ownership

Payments

7

Total payment records

General Amount

$115

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-26

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: 2016-10-19

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
I20161019000102IFamily 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
99214Established patient office or other outpatient visit, 30-39 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 76104)

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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: 5698194702View full group profile
NameSpecialtyState
Nurse PractitionerTX
Internal MedicineTX
Internal Medicine, HospitalistPA
Internal Medicine, HospitalistTX
Nurse PractitionerTX
Internal MedicineTX
Nurse PractitionerTX
Family PracticeTX
Nurse PractitionerTX
Internal MedicineTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. RAJU RAGHUNATH (M.D)?
DR. RAJU RAGHUNATH (M.D) — NPI 1225455207 — is the standard way to identify this listing.
Does CMS list DR. RAJU RAGHUNATH (M.D) as active?
Yes — DR. RAJU RAGHUNATH (M.D) is active in the NPI listing used on this page.
What is DR. RAJU RAGHUNATH (M.D)'s specialty?
The listing groups DR. RAJU RAGHUNATH (M.D) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. RAJU RAGHUNATH (M.D) on a map?
Expect Fort Worth, Texas as a primary anchor for DR. RAJU RAGHUNATH (M.D) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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