Individual provider Active NPI

Raju Raghunath, M.D

  • Family Medicine Physician
  • Irving, TX
National Provider Identifier
1225455207
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q6461 Issued in TX
Practice address
2240 Market Place Blvd Ste 140
Irving, TX 75063-8098
Phone
(972) 677-3565
Fax
(972) 895-4446
NPI assigned
Mar 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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 Q6461 TX Primary

Addresses

Primary practice location

2240 Market Place Blvd Ste 140
Irving, TX 75063-8098

Mailing address

2240 Market Place Blvd Ste 140
Irving, TX 75063-8098
Phone (972) 677-3565

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
I20161019000102 TX Practitioner - Family Practice 6507154804 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8195 Custer Rd
Suite 110
Frisco, TX 75035-3195

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10048379TXMDFamily Medicine Physician
Q6461TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ai Interventional LLC CurrentSince Oct 22, 2025 Accepting new patients
Trusted Primary Care PLLC Family Medicine Current Accepting new patients
Passion Health Physicians PLLC CurrentSince Apr 6, 2025 Accepting new patients
PHP Ins TX PLLC CurrentSince Jun 28, 2023 Accepting new patients

Locations

8195 Custer Rd
Ste 110
Frisco, TX 75035
Phone (469) 830-8835

230 O Connor Ridge Blvd
#110
Irving, TX 75038

2240 Market Place Blvd
Ste 140
Irving, TX 75063
Phone (972) 534-6024

9947 N MacArthur Blvd
Ste 150
Irving, TX 75063
Phone (817) 406-2064

230 O Connor Ridge Blvd
Ste 110
Irving, TX 75038

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1225455207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 MARKET PLACE BLVD STE 140",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750638098",
            "telephone_number": "972-677-3565",
            "fax_number": "972-895-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 MARKET PLACE BLVD STE 140",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750638098",
            "telephone_number": "972-677-3565",
            "fax_number": "972-895-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGHUNATH",
        "first_name": "RAJU",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-27",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q6461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.