Active NPI
Renju Vechurettu Raj, M.D.
- Hematology & Oncology Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 62630
- Practice address
- 9200 W Wisconsin Ave
Neoplastic Diseases Hospitalist
Milwaukee, WI 53226-3522 - Phone
- (414) 805-6800
- Fax
- (414) 805-6805
- NPI assigned
- Aug 14, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 40893 | IA | |
| Hematology & Oncology Physician | 207RH0003X | 62630 | WI | Primary |
Addresses
Primary practice location
9200 W Wisconsin Ave
Neoplastic Diseases Hospitalist
Milwaukee, WI 53226-3522
Mailing address
9200 W Wisconsin Ave
Neoplastic Diseases Hospitalist
Milwaukee, WI 53226-3522
Phone (414) 805-6800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083961528 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physiotherapy Associates Inc
Practice addresses (Care Compare)
101 Cherokee PL
Loudon, TN 37774-4162
Phone (865) 408-9344
1924 Alcoa Hwy
Knoxville, TN 37920-1511
1926 Alcoa Hwy
Suite 410
Knoxville, TN 37920-1545
Phone (865) 305-6333
1926 Alcoa Hwy 410
Knoxville, TN 37920-1512
Phone (865) 544-9218
1926 Alcoa Hwy 410
Knoxville, TN 37920-1545
Phone (865) 544-9218
Hospital & facility affiliations
- University Health System, Inc
- Fort Loudoun Medical Center
- Fort Sanders Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.48 of 100
- Quality
- 86.23
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40893 | IA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Health System Inc | Current | Accepting new patients | |
| University Health System, Inc | Current | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Internal Medicine | Current | Accepting new patients |
| University Health System, Inc | Internal Medicine | Current | Accepting new patients |
| Knoxville Neurology Specialists, PLLC | Past | Accepting new patients |
Locations
9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142
1926 Alcoa Hwy
Ste 410
Knoxville, TN 37920
Phone (865) 305-5622
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
Interoperability endpoints
- renju.raj@directaddress.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Knoxville, TN
- NPI 1790738763
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Knoxville, TN
- NPI 1306609748
-
- Hematology (Internal Medicine) Physician
- Knoxville, TN
- NPI 1548463698
-
- Neurology Physician
- Knoxville, TN
- NPI 1720003338
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lenoir City, TN
- NPI 1609860659
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1942294814
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1538164090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410393600000",
"number": "1083961528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 W WISCONSIN AVE",
"address_2": "NEOPLASTIC DISEASES HOSPITALIST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263522",
"telephone_number": "414-805-6800",
"fax_number": "414-805-6805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 W WISCONSIN AVE",
"address_2": "NEOPLASTIC DISEASES HOSPITALIST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263522",
"telephone_number": "414-805-6800",
"fax_number": "414-805-6805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VECHURETTU RAJ",
"first_name": "RENJU",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-14",
"last_updated": "2014-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "40893",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "WI",
"license": "62630",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1083961528",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.