Individual provider Active NPI

Rajani Ruth Caesar, MD

  • Neurology Physician
  • Longview, TX
National Provider Identifier
1104020700
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
N2975 Issued in TX
Practice address
505 N 6TH St
Longview, TX 75601-6604
Phone
(903) 392-2307
Fax
(903) 392-2308
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X N2975 TX Primary

Addresses

Primary practice location

505 N 6TH St
Longview, TX 75601-6604

Mailing address

505 N 6TH St
Longview, TX 75601-6604
Phone (903) 392-2307

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cpayne@graceneurologyclinic.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090727000316 TX Practitioner - Neurology 8426101213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

505 N 6TH St
Longview, TX 75601-6604
Phone (903) 392-2307

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Neurology Clinic, PLLC Neurology CurrentSince Jun 15, 2020 Accepting new patients
GS Physician Services Past Accepting new patients

Locations

100 Zeid Blvd
#B
Henderson, TX 75652
Phone (903) 392-2307

2021 W Loop 281
Longview, TX 75604
Phone (903) 291-0772

505 N 6th St
Longview, TX 75601
Phone (903) 392-2307

Interoperability endpoints

  • Direct secure messaging: rajani.caesar@258830411563012.direct.elationemr.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FBHJDD/Endpoint/FBHJDD

Organizations & group practices 2

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 4

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1104020700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N 6TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016604",
            "telephone_number": "903-392-2307",
            "fax_number": "903-392-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N 6TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016604",
            "telephone_number": "903-392-2307",
            "fax_number": "903-392-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAESAR",
        "first_name": "RAJANI",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "N2975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cpayne@graceneurologyclinic.com",
            "affiliation": "N",
            "endpointDescription": "Manager Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "505 N 6th St",
            "city": "Longview",
            "state": "TX",
            "country_code": "US",
            "postal_code": "756016604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.