Individual provider Active NPI

Charu Raghuvanshi, M.D.

  • Child & Adolescent Psychiatry Physician
  • Bowling Green, KY
National Provider Identifier
1427145275
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
37782 Issued in KY
Practice address
1035 Porter Pike
Bowling Green, KY 42103-9581
Phone
(270) 843-1199
Fax
(270) 782-9996
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 37782 KY Primary

Addresses

Primary practice location

1035 Porter Pike
Bowling Green, KY 42103-9581

Mailing address

1035 Porter Pike
Bowling Green, KY 42103-9581
Phone (270) 843-1199

Other identifiers 1

IdentifierTypeStateIssuer
64064421MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20031231000291 KY Practitioner - Psychiatry 9032018874 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uhs of Bowling Green LLCGroup PAC ID 7810987336, 7 clinicians

Practice addresses (Care Compare)

1035 Porter Pike
Bowling Green, KY 42103-9581
Phone (270) 843-1199

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37782KYMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bowling Green-Warren County Community Hospital Corporation CurrentSince Jun 1, 2015 Accepting new patients
Uhs of Bowling Green LLC CurrentSince Mar 1, 2016 Accepting new patients
Bowling Green-Warren County Community Hospital Corporation CurrentSince Jun 1, 2015 Accepting new patients

Locations

1035 Porter Pike
Bowling Green, KY 42103
Phone (270) 843-1199

2625 Scottsville Rd
Bowling Green, KY 42104
Phone (270) 745-0942

350 Park St
Ste 204
Bowling Green, KY 42101
Phone (270) 796-6333

Organizations & group practices 3

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1427145275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 PORTER PIKE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421039581",
            "telephone_number": "270-843-1199",
            "fax_number": "270-782-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 PORTER PIKE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421039581",
            "telephone_number": "270-843-1199",
            "fax_number": "270-782-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGHUVANSHI",
        "first_name": "CHARU",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "KY",
            "license": "37782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64064421",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.