Kanthi Raju, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

K1905 Issued in TX

Practice address

2150 Lakeside Blvd Ste 225E
Richardson, TX 75082

Phone

(972) 907-5230

Fax

(972) 907-5231

NPI assigned

Aug 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Psychiatry

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Kanthi Raju, D.O., P.a.

  • Psychiatry Physician
  • Richardson, TX
  • NPI 1114186947
  Medicare reassignment NPD Authorized official
• Gina Aalund, LCSW, PLLC

  • Clinical Social Worker
  • Southlake, TX
  • NPI 1821451410
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1124039144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 LAKESIDE BLVD STE 225E",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824302",
            "telephone_number": "972-907-5230",
            "fax_number": "972-907-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 LAKESIDE BLVD STE 225E",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "75082",
            "telephone_number": "972-907-5230",
            "fax_number": "972-907-5231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 W Campbell Rd",
            "address_2": "Suite 430",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750803601",
            "country_code": "US",
            "telephone_number": "972-918-0170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJU",
        "first_name": "KANTHI",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "K1905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hootan Rahimizadeh, MD
• Rainbow Pediatrics of Dallas
• Montoya Renee Rainey, APRN-CNP
• Lakshmi Rajagopal, MS- CCC - SLP
• Saritha Rajan, PA-C
• Megan Raleigh
• Ramadan Care Transportation LLC
• Carolina Monee Ramirez
• Paula Ramirez, LPC
• Paloma Azucena Ramos Hernandez, SURGICAL ASSISTANT

• Psychiatry Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.

Verify at the official NPI Registry.