NPIMap

Individual provider Active NPI

Rajesh Kunadharaju, MBBS

  • Critical Care Medicine (Internal Medicine) Physician
  • Stockton, CA
National Provider Identifier
1659712420
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
A176071 Issued in CA
Practice address
1801 E March LN Ste C300
Stockton, CA 95210-6657
Phone
(209) 464-6422
Fax
(209) 464-0193
NPI assigned
Jul 9, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A176071 CA
Internal Medicine Physician 207R00000X 7045 NE
Pulmonary Disease Physician 207RP1001X A176071 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A176071 CA Primary

Addresses

Primary practice location

1801 E March LN Ste C300
Stockton, CA 95210-6657

Mailing address

1801 E March LN Ste C300
Stockton, CA 95210-6657
Phone (209) 464-6422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220622003012 CA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 7810280286 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Sanjeev K Goswami MD IncGroup PAC ID 5890840243, 2 clinicians
San Joaquin Critical Care Medical Group, Inc.Group PAC ID 8628325123, 9 clinicians
Sonora Community HospitalGroup PAC ID 4284538505, shared by 10 NPIs, 134 clinicians

Practice addresses (Care Compare)

1801 E March LN
Suite C300
Stockton, CA 95210-6657
Phone (209) 464-6422

193 Fairview LN
Sonora, CA 95370-4828
Phone (209) 536-5100

900 Greenley Rd
Suite 923
Sonora, CA 95370-5287
Phone (209) 536-3730

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
81.74
Promoting interoperability
97
Improvement activities
40
Cost
67.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A176071CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonora Community Hospital Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Sonora Community Hospital Current Accepting new patients
Community Medical Team, Inc. Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Sanjeev K. Goswami, MD, Inc. Pulmonary Disease CurrentSince Jul 1, 2022 Accepting new patients
Community Medical Team Acute Care Corporation CurrentSince Apr 1, 2024 Accepting new patients
Sonora Community Hospital CurrentSince Jul 1, 2024 Accepting new patients
Rajesh Kunadharaju MD, PC Critical Care Medicine CurrentSince Oct 27, 2025 Accepting new patients
Sonora Community Hospital CurrentSince Jul 1, 2024 Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients

Locations

1231 W Vine St
#19
Lodi, CA 95240
Phone (209) 368-2030

768 Mountain Ranch Rd
San Andreas, CA 95249
Phone (209) 464-6422

193 Fairview Ln
Ste B
Sonora, CA 95370
Phone (209) 532-5100

900 Greenley Rd
Ste 923
Sonora, CA 95370
Phone (209) 536-5090

12811 Covey Cir
Sonora, CA 95370
Phone (209) 536-1785

193 Fairview Ln
Sonora, CA 95370
Phone (209) 536-5100

1801 E March Ln
Ste C300
Stockton, CA 95210
Phone (209) 464-6422

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

1148 W Hammer Ln
Stockton, CA 95209
Phone (209) 310-6156

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rkunadharaju237265@hpmg.direct-ci.net

Organizations & group practices 10

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 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1659712420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 E MARCH LN STE C300",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952106657",
            "telephone_number": "209-464-6422",
            "fax_number": "209-464-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E MARCH LN STE C300",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952106657",
            "telephone_number": "209-464-6422",
            "fax_number": "209-464-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNADHARAJU",
        "first_name": "RAJESH",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-09",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A176071",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "7045",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A176071",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A176071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.