Organization Active NPI

Raj K. Maturi MD PC

  • Retina Specialist (Ophthalmology) Physician
  • Carmel, IN
National Provider Identifier
1467699090
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
Legal business name
RAJ K. MATURI MD PC
Practice address
11220 Illinois St Ste 110
Carmel, IN 46032-8887
Phone
(317) 817-1414
Fax
(317) 805-4587
NPI assigned
Jan 20, 2009
Organization subpart
No

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

Authorized official

Name
Raj K MaturiNPI 1366448631
Title
Owner
Phone
(317) 817-1414

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
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X
Retina Specialist (Ophthalmology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207WX0107X 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

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

Other practice location 2

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

Other practice location 3

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

Other names 2

  • Retina Partners Midwest PC Doing business as
  • Raj K. Maturi MD Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090505000208 IN Part B Supplier - Clinic/Group Practice 8729136593 Receives reassigned benefits from 4 practitioners
Practice locations: Lafayette, IN; Kokomo, IN; Carmel, IN; Greenwood, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2051945Raj K Maturi, MD, PC11220 Illinois Street, Ste 110, Carmel, IN 46032Certificate of waiverJan 2, 2027

National Provider Directory

National Provider Directory

Locations

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

Interoperability endpoints

  • Direct secure messaging: ashah@meirkm.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 6

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": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1467699090",
    "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": "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": "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": "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": {
        "organization_name": "RAJ K. MATURI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "MATURI",
        "authorized_official_first_name": "RAJ",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-817-1414"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Retina Partners Midwest PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Raj K. Maturi MD",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Raj K. Maturi MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.