Active NPI
Bindu Raju, M.D.
- Internal Medicine Physician
- Sebring, FL
National Provider Identifier
1326031303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME138676
- Practice address
- 4200 Sun N Lake Blvd
Sebring, FL 33872-1986 - Phone
- (863) 402-3402
- Fax
- (863) 402-3111
- NPI assigned
- Aug 25, 2005
- Last updated
- Mar 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | L7466 | TX | |
| Internal Medicine Physician | 207R00000X | ME138676 | FL | Primary |
| Hospitalist Physician | 208M00000X | ME138676 | FL |
Addresses
Primary practice location
4200 Sun N Lake Blvd
Sebring, FL 33872-1986
Mailing address
4200 Sun N Lake Blvd
Sebring, FL 33872-1986
Phone (863) 402-3402
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356361976 | Other | TX | GROUP NPI |
| 161079201 | Medicaid | TX |
Other names 1
- Bindu Madala
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME138676 | FL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Group of El Paso PA | Internal Medicine | Past | Accepting new patients |
| Rusk Physician Services PA | Hospitalist | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- braju513137@adventhealth.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1023068590
-
- Hospitalist Physician
- Henderson, TX
- NPI 1679899751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551916800000",
"number": "1326031303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 SUN N LAKE BLVD",
"city": "SEBRING",
"state": "FL",
"postal_code": "338721986",
"telephone_number": "863-402-3402",
"fax_number": "863-402-3111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 SUN N LAKE BLVD",
"city": "SEBRING",
"state": "FL",
"postal_code": "338721986",
"telephone_number": "863-402-3402",
"fax_number": "863-402-3111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJU",
"first_name": "BINDU",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-25",
"last_updated": "2019-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "L7466",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME138676",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME138676",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1356361976",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "161079201",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BINDU",
"last_name": "MADALA",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sebring, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.