RAJA V THOTAKURA (M.D.) – Gastroenterology Physician, NPI 1578794491
Preparing for Medicare enrollment?
Use our CMS-855 prep checklist: which form applies (855I, 855O, or 855A), readiness score, NPPES field map, and Section 12 documents. Reassignment uses CMS-855I Section 4F—not the discontinued CMS-855R form.
Open Medicare 855 Prep tool →Gastroenterology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for RAJA V THOTAKURA (M.D.)
1836 South Ave
LA Crosse, WI 546015429
Phone: (608) 782-7300
Type: Location
1615 Delaware St
Longview, WA 986322367
Phone: (360) 414-2730
Type: Location
11104 Parkview Circle Dr
Fort Wayne, IN 468451672
Phone: (260) 266-5230
Fax: (260) 266-5238
Type: Location
11104, Parkview Circle, Fort Wayne, Allen County, Indiana, 46845, United States
FORT WAYNE, IN 468451672
Phone: (260) 266-5230
Type: Location
PeaceHealth, 1115, Southeast 164th Avenue, Vancouver, Clark County, Washington, 98683, United States
DEPT. 358
VANCOUVER, WA 986839324
Phone: (360) 729-1462
Fax: (360) 729-3104
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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.
No Medicare enrollment or revalidation data available for this provider in our database.
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 54601)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nurse Practitioner | NM | |
| - | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| - | IN | |
| Infectious Disease | IN | |
| Internal Medicine | IN | |
| - | IN | |
| - | IN |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.