Individual provider Active NPI

Roman P Raju, MD

  • Diagnostic Radiology Physician
  • Cypress, TX
National Provider Identifier
1104026681
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
P6893 Issued in TX
Practice address
21214 Northwest Fwy
Suite 220
Cypress, TX 77429-3373
Phone
(832) 912-3600
Fax
(832) 912-3638
NPI assigned
Jul 23, 2007
Last updated
Mar 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X P6893 TX Primary

Addresses

Primary practice location

21214 Northwest Fwy
Suite 220
Cypress, TX 77429-3373

Mailing address

PO Box 765
Indianapolis, IN 46206-0765
Phone (888) 685-3915

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OR, NY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20130923000616 TX Practitioner - Diagnostic Radiology 0648414185 Reassigns benefits to 11 organizations
I20220620001248 OR Practitioner - Diagnostic Radiology 0648414185 Reassigns benefits to 1 organization
I20230505001357 NY Practitioner - Diagnostic Radiology 0648414185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Columbia University College of Physicians and Surgeons, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Angelina Diagnostic Radiology AssociatesGroup PAC ID 1850380890, 71 clinicians
Radia Oregon Radiology Medical Group LLCGroup PAC ID 2961852637, 122 clinicians
Radia California Radiology Medical Group IncGroup PAC ID 8921465998, 134 clinicians
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians

Practice addresses (Care Compare)

22215 Cypresswood Dr
Cypress, TX 77433-9018
Phone (479) 452-9416

240 Cimarron Hills TRL E
Georgetown, TX 78628-6965
Phone (425) 563-1500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P6893TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radia Oregon Radiology Medical Group LLC Diagnostic Radiology CurrentSince Apr 17, 2024 Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince Mar 24, 2024 Accepting new patients
Radiology Associates of San Luis Obispo, a Medical Group Inc Diagnostic Radiology CurrentSince May 29, 2024 Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Medford Radiological Group, PC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Gila River Health Care CurrentSince Sep 8, 2022 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Nov 1, 2018 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Nov 1, 2018 Accepting new patients
Texas Imaging Partners, LLC CurrentSince Jun 30, 2026 Accepting new patients
Diagnostic MRI Central LLC Diagnostic Radiology CurrentSince Nov 7, 2020 Accepting new patients
One Step Diagnostic XII LP CurrentSince Oct 15, 2024 Accepting new patients
Gila River Health Care CurrentSince Sep 8, 2022 Accepting new patients
One Step Diagnostic XI LP CurrentSince Nov 9, 2023 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Jan 29, 2024 Accepting new patients
Bend Memorial Clinic PC CurrentSince Sep 1, 2022 Accepting new patients
Radia California Radiology Medical Group Inc Diagnostic Radiology CurrentSince Apr 17, 2024 Accepting new patients
Morrow County Health District Current Accepting new patients
South Sound Radiologists Inc P S Diagnostic Radiology CurrentSince Jun 16, 2025 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Feb 22, 2024 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Apr 17, 2024 Accepting new patients
One Step Diagnostic IX LP CurrentSince Nov 9, 2023 Accepting new patients
Bend Memorial Clinic PC CurrentSince Sep 1, 2022 Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients
Claris Health PLLC PastSince May 9, 2016 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Gaps Health in P.C. PastSince Mar 1, 2020 Accepting new patients
Pueblo Radiology Medical Group Inc Diagnostic Radiology Past Accepting new patients

Locations (25 of 27)

17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000

48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

19950 Rinaldi St
Ste 101B
Porter Ranch, CA 91326
Phone (818) 496-7517

1450 Medical Center Dr
Rohnert Park, CA 94928
Phone (707) 546-3210

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

26357 McBean Pkwy
Ste 155
Santa Clarita, CA 91355
Phone (661) 288-5940

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

121 Sotoyome St
Santa Rosa, CA 95405
Phone (707) 546-3141

925 Corporate Cntr Pkwy
Ste A
Santa Rosa, CA 95407
Phone (707) 543-2000

1310 Las Tablas Rd
Ste 103
Templeton, CA 93465
Phone (805) 434-0829

6580 Hembree Ln
Ste 270
Windsor, CA 95492
Phone (707) 838-2044

1460 NE Medical Center Dr
Bend, OR 97701
Phone (541) 598-3218

1460 NE Medical Center Dr
Ste 170
Bend, OR 97701

1460 NE Medical Center Dr
Ste 180
Bend, OR 97701
Phone (541) 408-7691

1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354

21214 Northwest Fwy
Cypress, TX 77429
Phone (832) 912-3500

21214 Northwest Fwy
Ste 220
Cypress, TX 77429
Phone (832) 912-3600

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

830 Gemini St
Houston, TX 77058
Phone (281) 488-3575

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

Organizations & group practices 30

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 30

Hospital & facility affiliations 6

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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1104026681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 765",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462060765",
            "telephone_number": "888-685-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21214 NORTHWEST FWY",
            "address_2": "SUITE 220",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774293373",
            "telephone_number": "832-912-3600",
            "fax_number": "832-912-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJU",
        "first_name": "ROMAN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "P6893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.