Individual provider Active NPI

Naishadh Naval Raghuwanshi, MD, MBA

  • Gastroenterology Physician
  • Murrieta, CA
National Provider Identifier
1588869382
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A102238 Issued in CA
Practice address
25495 Medical Center Dr Ste 306
Murrieta, CA 92562-4904
Phone
(951) 304-9300
NPI assigned
Jun 20, 2007
Last updated
Jan 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 2005013747 MO
Gastroenterology Physician 207RG0100X A102238 CA Primary

Addresses

Primary practice location

25495 Medical Center Dr Ste 306
Murrieta, CA 92562-4904

Mailing address

25495 Medical Center Dr Ste 306
Murrieta, CA 92562-4904
Phone (951) 304-3900

Other practice location 1

949 Calhoun Pl
Suite A
Hemet, CA 92543-4403
Phone (951) 929-1177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20090630000186 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 5597816710 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25485 Medical Ctr Dr
Suite 104
Murrieta, CA 92562-6927
Phone (951) 304-3900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy159
Upper gastrointestinal (GI) endoscopy for acid reflux161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2005013747MOMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Sr Nakka MD CurrentSince Apr 24, 2018 Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Menifee Valley Medical Center Past Accepting new patients

Locations

949 Calhoun Pl
Ste A
Hemet, CA 92543
Phone (951) 766-1954

25495 Medical Center Dr
Ste 307
Murrieta, CA 92562
Phone (951) 304-3900

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: naishadh.raghuwanshi.p66@direct.kmsm.nextgenshare.com
  • Direct secure messaging: nraghuwanshi182095@direct.llu.edu

Organizations & group practices 4

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": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1588869382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25495 MEDICAL CENTER DR STE 306",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624904",
            "telephone_number": "951-304-3900",
            "fax_number": "951-304-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25495 MEDICAL CENTER DR STE 306",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624904",
            "telephone_number": "951-304-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "949 Calhoun Pl",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Hemet",
            "state": "CA",
            "postal_code": "925434403",
            "country_code": "US",
            "telephone_number": "951-929-1177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAGHUWANSHI",
        "first_name": "NAISHADH",
        "middle_name": "NAVAL",
        "name_prefix": "Dr.",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MO",
            "license": "2005013747",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A102238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.