Dundoo Raghunandan, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

33887 Issued in MO

Practice address

12255 De Paul Dr
Suite 420
Bridgeton, MO 63044-2510

Phone

(314) 291-5000

Fax

(314) 291-4932

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Ophthalmology

Education

Other, 1961

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St. Louis Eye ClinicGroup PAC ID 2961559844, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.78 of 100Reported as group

Quality

73.33

Improvement activities

40

Cost

100

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• St. Louis Eye Clinic

  • Clinic/Center
  • Saint Louis, MO
  • NPI 1366555690

  Ophthalmology

  Medicare reassignment Care Compare group NPD
• St. Louis Eye Clinic

  • Glaucoma Specialist (Ophthalmology) Physician
  • Saint Louis, MO
  • NPI 1629105259
  NPD

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508979998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 HAMPTON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092238",
            "telephone_number": "314-352-9800",
            "fax_number": "314-352-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12255 DE PAUL DR",
            "address_2": "SUITE 420",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442510",
            "telephone_number": "314-291-5000",
            "fax_number": "314-291-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGHUNANDAN",
        "first_name": "DUNDOO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "33887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200576809",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quantum Laboratory
• Angela Quick
• Dennis L Quillen, CRNA
• Elizabeth Ann Rachel, MSW
• Nicole Radev
• Syed Aziz Rahman
• Pathma T Ramesvara, MD
• Anthony John Ramos, MS, RD, LD
• Debra Ramza, RN
• Sameer Rana, M.D.

• Ophthalmology Physician in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• Ophthalmology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.