Organization Active NPI

Rajaram MD PLLC

  • Cardiovascular Disease Physician
  • Edmond, OK
National Provider Identifier
1447754007
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
RAJARAM MD PLLC
Doing business as
HEART & VASCULAR SPECIALISTS OF OKLAHOMA
Practice address
105 S Bryant Ave Ste 101
Edmond, OK 73034-6330
Phone
(405) 622-3063
Fax
(405) 732-0022
NPI assigned
Mar 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Dr. Venkatram Rajaram, MD, MSNPI 1154359768
Title
Owner
Phone
(405) 622-3063

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X 28679 OK

Addresses

Primary practice location

105 S Bryant Ave Ste 101
Edmond, OK 73034-6330

Mailing address

15312 Kestral Lake Dr
Edmond, OK 73013-9695
Phone (405) 627-4475

Other names 1

  • HEART & VASCULAR SPECIALISTS OF OKLAHOMA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180509000830 OK Part B Supplier - Clinic/Group Practice 7911261482 Receives reassigned benefits from 1 practitioner
Practice locations: Edmond, OK

National Provider Directory

National Provider Directory

Locations

102 Starlite Dr
Kingfisher, OK 73750
Phone (572) 200-8805

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1447754007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15312 KESTRAL LAKE DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730139695",
            "telephone_number": "405-627-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S BRYANT AVE STE 101",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346330",
            "telephone_number": "405-622-3063",
            "fax_number": "405-732-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJARAM MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "RAJARAM",
        "authorized_official_first_name": "VENKATRAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-622-3063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MS"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OK",
            "license": "28679",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEART & VASCULAR SPECIALISTS OF OKLAHOMA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.