Individual provider Active NPI

Sailaja Raju, M.D.

  • Family Medicine Physician
  • Germantown, TN
National Provider Identifier
1205093085
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
47601 Issued in TN
Practice address
1941 S Germantown Rd Ste 103
Germantown, TN 38138-2862
Phone
(901) 754-8880
Fax
(901) 754-8883
NPI assigned
May 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 47601 TN Primary

Addresses

Primary practice location

1941 S Germantown Rd Ste 103
Germantown, TN 38138-2862

Mailing address

1941 S Germantown Rd Ste 103
Germantown, TN 38138-2862
Phone (901) 754-8880

Other identifiers 1

IdentifierTypeStateIssuer
1205093085MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20111214000341 TN Practitioner - Family Practice 5092980409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Francis Physician Network, LLCGroup PAC ID 2365701943, 74 clinicians

Practice addresses (Care Compare)

2018 S Germantown Rd
Germantown, TN 38138-2844
Phone (901) 754-8880

Hospital & facility affiliations

  • St Francis Hospital Hospital, Memphis, TN, CCN 440183
  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • Saint Francis Bartlett Medical Center Hospital, Bartlett, TN, CCN 440228

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Blakney Current Accepting new patients
Saint Francis Physician Network, LLC Family Medicine CurrentSince Feb 5, 2018 Accepting new patients
Collierville Family Medical Center P.C. Family Medicine Past Accepting new patients

Locations

790 W Poplar Ave
Collierville, TN 38017
Phone (901) 853-9700

1941 S Germantown Rd
#103
Germantown, TN 38138
Phone (901) 624-6055

1941 S Germantown Rd
Ste 103
Germantown, TN 38138
Phone (901) 624-6055

6005 Park Ave
Ste 323B
Memphis, TN 38119
Phone (901) 756-6991

2018 S Germantown Rd
Memphis, TN 38138
Phone (901) 754-8880

452 Perkins Ext
Memphis, TN 38117
Phone (901) 730-8300

6005 Park Ave
Ste 601
Memphis, TN 38119
Phone (901) 680-9205

Interoperability endpoints

  • Direct secure messaging: sailaja.raju.1@16700.direct.athenahealth.com

Organizations & group practices 3

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 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": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1205093085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 S GERMANTOWN RD STE 103",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382862",
            "telephone_number": "901-754-8880",
            "fax_number": "901-754-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 S GERMANTOWN RD STE 103",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382862",
            "telephone_number": "901-754-8880",
            "fax_number": "901-754-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJU",
        "first_name": "SAILAJA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "47601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205093085",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.