Vadrevu K Raju, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

11294 Issued in WV

Practice address

1255 Pineview Dr
Morgantown, WV 26505-2738

Phone

(304) 598-3301

Fax

(304) 225-0516

NPI assigned

Jul 14, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WV

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

Merit-based Incentive Payment System (MIPS)

Final score

83.79 of 100Reported as group

Quality

94.87

Promoting interoperability

100

Improvement activities

40

Cost

51.09

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Mountaineer Vision Center, PLLC

  • Optometrist
  • Morgantown, WV
  • NPI 1467520890
  Medicare reassignment
• Monongalia Eye Clinic LLC

  • Ophthalmology Physician
  • Morgantown, WV
  • NPI 1992887731
  NPD

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1346248127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 PINEVIEW DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052738",
            "telephone_number": "304-598-3301",
            "fax_number": "304-225-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 PINEVIEW DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052738",
            "telephone_number": "304-598-3301",
            "fax_number": "304-225-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJU",
        "first_name": "VADREVU",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WV",
            "license": "11294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0096681000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007123000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vkraju@rea.integrityemrdirect.com",
            "affiliation": "N",
            "endpointDescription": "Regional Eye Direct Address (CCDAs, Messages, PHI Exchange)",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1255 Pineview Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265052738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ansaar T Rai, M.D.
• Avinaash Raja Sager
• Nafiisah B.M.H. Rajabalee, MD
• Sharath Rajagopalan, MD
• Rajeev Winfred MD PLLC
• Timothy Joseph Rakas
• Courtney Madison Ralston, DNP, APRN, CPNP-AC
• Hassan H Ramadan, M.D.
• Kayleigh Ramaley, PA-C
• Sarah J Ramsay, M.D.

• Ophthalmology Physician in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Ophthalmology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.
• 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.