Individual provider Active NPI

Renju Vechurettu Raj, M.D.

  • Hematology & Oncology Physician
  • Milwaukee, WI
National Provider Identifier
1083961528
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
62630 Issued in WI
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

Updated by the provider on Sep 11, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1083961528MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150211000618 WI Practitioner - Hematology/OncologyPractitioner - Internal Medicine 5294977278 Reassigns benefits to 1 organization
I20210219001791 TN Practitioner - Medical Oncology 5294977278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians

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 Hospital, Knoxville, TN, CCN 440015
  • Fort Loudoun Medical Center Hospital, Lenoir City, TN, CCN 440110
  • Fort Sanders Regional Medical Center Hospital, Knoxville, TN, CCN 440125

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
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

LicenseStateTypeSpecialty
40893IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc CurrentSince Feb 1, 2021 Accepting new patients
University Health System, Inc CurrentSince Feb 1, 2021 Accepting new patients
The Medical College of Wisconsin, Inc. Internal Medicine CurrentSince Aug 1, 2014 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.