Individual provider Active NPI

Raghuveer Balkunje Shenoy, MD

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1093748618
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
U1379 Issued in TX
Practice address
2222 Rosewood Ave
Austin, TX 78702-2206
Phone
(512) 465-4840
Fax
(512) 465-4841
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X U1379 TX Primary

Addresses

Primary practice location

2222 Rosewood Ave
Austin, TX 78702-2206

Mailing address

2222 Rosewood Ave
Austin, TX 78702-2206
Phone (512) 465-4840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, TX2 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
I20230317001296 HI Practitioner - Internal Medicine 5294927117 Reassigns benefits to 2 organizations
I20231205001331 TX Practitioner - Internal Medicine 5294927117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Group practices
Central Texas Community Health CentersGroup PAC ID 5395802151, 165 clinicians

Practice addresses (Care Compare)

1210 W Braker LN
Austin, TX 78758-3801
Phone (512) 978-9800

825 E Rundberg LN
Suite B1
Austin, TX 78753-4860
Phone (512) 978-9600

9411 N Lamar Blvd
Suite 120
Austin, TX 78753-4179
Phone (512) 978-8994

Hospital & facility affiliations

  • Straub Clinic and Hospital Hospital, Honolulu, HI, CCN 120022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
U1379TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Community Health Centers Internal Medicine CurrentSince Aug 21, 2025 Accepting new patients
Central Texas Community Health Centers CurrentSince Aug 21, 2025 Accepting new patients
Kauai Medical Clinic CurrentSince Jun 26, 2023 Accepting new patients
Kauai Medical Clinic CurrentSince Jun 26, 2023 Accepting new patients

Locations

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500

3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500

1210 W Braker Ln
Austin, TX 78758
Phone (512) 978-9300

301 W State Highway 71
Ste 111
Bastrop, TX 78602
Phone (512) 304-0318

Networks

  • HI PPO
  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Interoperability endpoints

  • Direct secure messaging: rshenoy102738@oc.providencedirect.org

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 1

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1093748618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 ROSEWOOD AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787022206",
            "telephone_number": "512-465-4840",
            "fax_number": "512-465-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 ROSEWOOD AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787022206",
            "telephone_number": "512-465-4840",
            "fax_number": "512-465-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENOY",
        "first_name": "RAGHUVEER",
        "middle_name": "BALKUNJE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U1379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.