Individual provider Active NPI

Raghu R. Seethala, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Weymouth, MA
National Provider Identifier
1437317096
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
243168 Issued in MA
Practice address
55 Fogg Road
Weymouth, MA 02061
Phone
(781) 624-8000
Fax
(781) 878-6750
NPI assigned
May 29, 2008
Last updated
Dec 18, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 243168 MA
Emergency Medicine Physician 207P00000X MD437310 PA
Emergency Medicine Physician 207P00000X 242500 NY
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 243168 MA Primary

Addresses

Primary practice location

55 Fogg Road
Weymouth, MA 02061

Mailing address

141 Longwater Drive
Loft Suite 201
Norwell, MA 02061
Phone (781) 792-4136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110513000246 MA Practitioner - Critical Care (Intensivists)Practitioner - Emergency Medicine 9436200656 Reassigns benefits to 7 organizations
I20161116000564 TX Practitioner - Critical Care (Intensivists) 9436200656 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Jefferson Medical College of Thomas Jefferson University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nantucket Cottage HospitalGroup PAC ID 1759357601, 91 clinicians

Practice addresses (Care Compare)

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

57 Prospect St
Nantucket, MA 02554-2799
Phone (508) 825-8100

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
242500NYMDEmergency Medicine Physician
MD437310PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Oct 3, 2024 Accepting new patients
Brigham & Womens Physicians Organization Inc Emergency Medicine CurrentSince May 30, 2015 Accepting new patients
Brigham and Women's Hospital Current Accepting new patients
Idoc Virtual Telehealth Texas Critical Care Medicine CurrentSince Dec 1, 2019 Accepting new patients
Nantucket Cottage Hospital Current Accepting new patients
Nantucket Cottage Hospital CurrentSince Apr 14, 2025 Accepting new patients
Nantucket Physicians Organization CurrentSince Apr 14, 2025 Accepting new patients
Massachusetts General Physicians Organization Inc Emergency Medicine CurrentSince Oct 3, 2024 Accepting new patients
Idoc Telehealth Solutions, Inc Critical Care Medicine CurrentSince Sep 3, 2016 Accepting new patients
Coastal Medical Associates CurrentSince Oct 21, 2018 Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

75 Francis St
Boston, MA 02115

57 Prospect St
Nantucket, MA 02554
Phone (508) 228-1200

141 Longwater Dr
Ste 201
Norwell, MA 02061
Phone (781) 261-7820

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

2001 Hermann Dr
Houston, TX 77004
Phone (713) 285-5500

4635 Southwest Fwy
Ste 525
Houston, TX 77027
Phone (281) 543-1706

Interoperability endpoints

  • Direct secure messaging: seethala.raghu.bwh@direct.partners.masshiway.net

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1437317096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 LONGWATER DRIVE",
            "address_2": "LOFT SUITE 201",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "02061",
            "telephone_number": "781-792-4136",
            "fax_number": "781-878-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FOGG ROAD",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "02061",
            "telephone_number": "781-624-8000",
            "fax_number": "781-878-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEETHALA",
        "first_name": "RAGHU",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "243168",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD437310",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "242500",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MA",
            "license": "243168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

Verify at the official NPI Registry.