Individual provider Active NPI

Raju Fatehchand, MD FACP

  • Internal Medicine Physician
  • Newark, OH
National Provider Identifier
1346201407
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.095392 Issued in OH
Practice address
1930 Tamarack Rd
Newark, OH 43055-2303
Phone
(740) 522-7600
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.095392 OH Primary

Addresses

Primary practice location

1930 Tamarack Rd
Newark, OH 43055-2303

Mailing address

8645 Mallard Cir
Plain City, OH 43064-6004
Phone (740) 616-0403

Other identifiers 1

IdentifierTypeStateIssuer
3055312MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100629000419 OH Practitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - Addiction MedicinePractitioner - Hospitalist 6406839885 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.095392OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Services and TMS Center LLC CurrentSince May 1, 2022 Accepting new patients
Complexcare Medical Group Midwest M PLLC Internal Medicine CurrentSince Jun 9, 2025 Accepting new patients
Theoria Medical Internal Medicine CurrentSince Nov 1, 2024 Accepting new patients
Chillicothe Acute Care Clinic, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Chillicothe Acute Care Clinic, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Department of Medicine Faculty Practice Internal Medicine Past Accepting new patients
Hocking Valley Hospitalists Inc. Past Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

3 Medical Dr
Chillicothe, OH 45601
Phone (740) 773-2131

5151 N Hamilton Rd
Gahanna, OH 43230
Phone (614) 337-1066

7120 Port Sylvania Dr
Toledo, OH 43617
Phone (419) 841-2200

512 Cresent Dr
Troy, OH 45373
Phone (570) 916-6061

1030 High St
Worthington, OH 43085
Phone (614) 876-7356

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/anchoraddiction/r4/

Organizations & group practices 7

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1346201407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8645 MALLARD CIR",
            "city": "PLAIN CITY",
            "state": "OH",
            "postal_code": "430646004",
            "telephone_number": "740-616-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 TAMARACK RD",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552303",
            "telephone_number": "740-522-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATEHCHAND",
        "first_name": "RAJU",
        "name_prefix": "Dr.",
        "credential": "MD FACP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.095392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3055312",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.