Individual provider Active NPI

Raj K Maturi, MD

  • Retina Specialist (Ophthalmology) Physician
  • Carmel, IN
National Provider Identifier
1366448631
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
01050295 Issued in IN
Practice address
11220 Illinois St Ste 110
Carmel, IN 46032-8887
Phone
(317) 817-1414
Fax
(317) 805-4587
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 01050295 IN
Retina Specialist (Ophthalmology) Physician 207WX0107X 01050295 IN Primary

Addresses

Primary practice location

11220 Illinois St Ste 110
Carmel, IN 46032-8887

Mailing address

11220 Illinois St Ste 110
Carmel, IN 46032-9847
Phone (317) 817-1414

Other practice location 1

100 Professional Ct Ste 101
Lafayette, IN 47905-5132
Phone (317) 817-1414

Other practice location 2

965 Emerson Pkwy Ste A
Greenwood, IN 46143-6274
Phone (317) 817-1414

Other practice location 3

608 E Boulevard
Kokomo, IN 46902-2271
Phone (317) 817-1414

Other identifiers 5

IdentifierTypeStateIssuer
352076654OtherINTAX ID
5134 724OtherINAETNA PROVIDER ID
000000196897OtherINANTHEM BCBS PIN
200216230MedicaidIN
180042424OtherINRAILROAD MEDICARE PIN

Other names 1

  • Raj Maturi Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20090121000104 IN Practitioner - Ophthalmology 2567547102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raj K. Maturi MD PCGroup PAC ID 8729136593, 4 clinicians

Practice addresses (Care Compare)

11220 Illinois St
Suite 110
Carmel, IN 46032-9847
Phone (317) 817-1414

Hospital & facility affiliations

  • Indiana University Health North Hospital Hospital, Carmel, IN, CCN 150161

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01050295INMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raj K. Maturi MD PC Ophthalmology CurrentSince Oct 1, 1999 Accepting new patients
Midwest Eye Retina PC Ophthalmology PastSince Apr 27, 2011 Accepting new patients
Central Indiana Eye Institute PC Ophthalmology Past Accepting new patients
Lafayette Retina Clinic PC Ophthalmology PastSince May 3, 2002 Accepting new patients

Locations

201 Pennsylvania Pkwy
Carmel, IN 46280
Phone (317) 817-1254

11220 Illinois St
Ste 110
Carmel, IN 46032
Phone (317) 817-1414

10300 N Illinois St
Ste 1060
Carmel, IN 46290
Phone (317) 805-2200

965 Emerson Pkwy
Ste A
Greenwood, IN 46143
Phone (317) 817-1414

555 E County Line Rd
Greenwood, IN 46143
Phone (317) 497-2100

608 E Boulevard
Kokomo, IN 46902
Phone (317) 817-1414

100 Professional Ct
Ste 101
Lafayette, IN 47905
Phone (317) 817-1414

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.

Hospital & facility affiliations 1

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1366448631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11220 ILLINOIS ST STE 110",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460329847",
            "telephone_number": "317-817-1414",
            "fax_number": "317-805-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11220 ILLINOIS ST STE 110",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328887",
            "telephone_number": "317-817-1414",
            "fax_number": "317-805-4587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Professional Ct Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479055132",
            "country_code": "US",
            "telephone_number": "317-817-1414",
            "fax_number": "317-805-4587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "965 Emerson Pkwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461436274",
            "country_code": "US",
            "telephone_number": "317-817-1414",
            "fax_number": "317-805-4587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "608 E Boulevard",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469022271",
            "country_code": "US",
            "telephone_number": "317-817-1414",
            "fax_number": "317-805-4587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATURI",
        "first_name": "RAJ",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01050295",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "IN",
            "license": "01050295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "352076654",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "5134 724",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PIN",
            "identifier": "000000196897",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200216230",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "180042424",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAJ",
            "last_name": "MATURI",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.