Individual provider Active NPI

Vignesh Raghunath, MD

  • Student in an Organized Health Care Education/Training Program
  • Morristown, NJ
National Provider Identifier
1639580475
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
25MA10812100 Issued in NJ
Practice address
100 Madison Ave
Morristown, NJ 07960-6136
Phone
(973) 971-5000
NPI assigned
May 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A149390 CA
Hospitalist Physician 208M00000X A149390 CA
Student in an Organized Health Care Education/Training Program 390200000X 25MA10812100 NJ Primary

Addresses

Primary practice location

100 Madison Ave
Morristown, NJ 07960-6136

Mailing address

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5000

Other practice location 1

200 Medical Plaza Suite 420 120 365
Los Angeles, CA 90095-6402
Phone (310) 794-1276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NJ2 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
I20170621000793 CA Practitioner - Internal MedicinePractitioner - Hospitalist 6800164542 Reassigns benefits to 2 organizations
I20231220003545 NJ Practitioner - Cardiovascular Disease (Cardiology) 6800164542 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiovascular Health Consultants, P.a.Group PAC ID 8325934706, 118 clinicians
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5915

95 Madison Ave
Morristown, NJ 07960-6092
Phone (973) 285-7610

Hospital & facility affiliations

  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Hunterdon Medical Center Hospital, Flemington, NJ, CCN 310005
  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051
  • Newton Medical Center Hospital, Newton, NJ, CCN 310028
  • Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A149390CAMDInternal Medicine Physician
25MA10812100NJMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Feb 1, 2018 Accepting new patients
Practice Associates Medical Group Internal Medicine CurrentSince Oct 4, 2023 Accepting new patients
County of Los Angeles CurrentSince Feb 1, 2018 Accepting new patients
Cardiovascular Health Consultants, P.a. CurrentSince Mar 2, 2025 Accepting new patients
Superior Hospitalist Medical Group Inc Internal Medicine CurrentSince Sep 15, 2019 Accepting new patients
Ahs Hospital Corp PastSince Oct 4, 2023 Accepting new patients
UCLA Medical Group Internal Medicine Past Accepting new patients

Locations

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

1125 US Highway 22
Ste 170
Bridgewater, NJ 08807
Phone (908) 947-7010

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

95 Madison Ave
Ste 300
Morristown, NJ 07960
Phone (973) 898-0400

95 Madison Ave
Morristown, NJ 07960
Phone (973) 267-1010

Interoperability endpoints

  • Direct secure messaging: vraghunath546633@direct.uclahealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1639580475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MADISON AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606136",
            "telephone_number": "973-971-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MADISON AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606136",
            "telephone_number": "973-971-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Medical Plaza Suite 420 120 365",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900956402",
            "country_code": "US",
            "telephone_number": "310-794-1276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAGHUNATH",
        "first_name": "VIGNESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-14",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A149390",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A149390",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NJ",
            "license": "25MA10812100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.