MANJUNATH GOPAL RAJU – Cardiovascular Disease Physician, NPI 1528251618

MANJUNATH GOPAL RAJU is a healthcare provider. based in Vancouver, Washington. specializing in INTERNAL MEDICINE. They hold a License No. ME172591 (FL). The NPI Number for MANJUNATH GOPAL RAJU is 1528251618

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
MANJUNATH GOPAL RAJU
NPI
1528251618
Phone
(360) 729-1411
Address
1115 SE 164TH AVE DEPT 358
Enumeration Date
22 August 2007
Last Update Date
9 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4073033827
Graduation Year
2006 (20 years ago)
PAC ID
3375683170
Group Practice PAC ID
0749186153
Professional Enrollment ID
I20250815001300
Address ID
FL347474970KI400XXPLXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:18State licenses:2Digital endpointsOther names

2,474 INTERNAL MEDICINE in OR

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Provider Addresses for MANJUNATH GOPAL RAJU

  • 1115 SE 164TH AVE DEPT 358

    VANCOUVER, WA 986838004

    Phone: (360) 729-1411

    Type: Mailing

  • 3311, Riverbend Drive, Springfield, Lane County, Oregon, 97477, United States

    SPRINGFIELD, OR 97477

    Phone: (541) 484-4332

    Fax: (541) 302-0786

    Type: Location

  • 1605 W FAIRBANKS AVE

    WINTER PARK, FL 327894603

    Phone: (407) 845-8356

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 237 Open Payments records for all available years, with a total value of $11,318.

Total Amount is formed as General ($11,318) + Research ($0) + Ownership ($0) = $11,318.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Medtronic, Inc. ($3,137).

Total Amount

$11,318

General + Research + Ownership

Payments

237

Total payment records

General Amount

$11,318

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2025-08-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170517001980IInterventional CardiologyORTBD
I20250815001300IInternal 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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1,5441,326$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function381376$0
93971Ultrasound study of one arm or leg veins with compression and maneuvers173166$0
93970Ultrasound study of arm or leg veins with compression and maneuvers140137$0
99204New patient office or other outpatient visit, 45-59 minutes137137$0
View full utilization report →

Insurance plans in this area (ZIP 98683)

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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: 0749186153View full group profile
NameSpecialtyState
Physician AssistantFL
N E U R O L O G YFL
General SurgeryFL
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyFL
Nurse PractitionerFL
O B S T E T R I C S/ G Y N E C O L O G YFL
General SurgeryFL
Pulmonary Disease, Critical Care (Intensivists)FL
O B S T E T R I C S/ G Y N E C O L O G YMI
Physician AssistantFL

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Frequently asked questions

What is the standard ID for MANJUNATH GOPAL RAJU in the U.S.?
In the U.S., MANJUNATH GOPAL RAJU is identified by NPI 1528251618.
Quick check: is MANJUNATH GOPAL RAJU active?
Public NPPES data shows MANJUNATH GOPAL RAJU with an active NPI status right now.
What services align with MANJUNATH GOPAL RAJU's listing?
MANJUNATH GOPAL RAJU's public classification highlights Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to MANJUNATH GOPAL RAJU?
MANJUNATH GOPAL RAJU shows a connection to Vancouver, Washington in registry-derived data.
Who maintains MANJUNATH GOPAL RAJU's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.