Raji M Gill DO PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

3753 Issued in OK

Legal business name

RAJI M GILL DO PC

Practice address

1500 E Downing St Ste 100
Tahlequah, OK 74464-3354

Phone

(918) 458-5700

Fax

(918) 458-5790

NPI assigned

Jun 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Raji M Gill, DONPI 1922181593

Title

President

Phone

(918) 458-5700

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Oklahoma Urology Center Other name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raji M Gill, DO

  • Urology Physician
  • Tahlequah, OK
  • NPI 1922181593
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1679770176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 EAST DOWNING",
            "address_2": "SUITE 100",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "74404",
            "telephone_number": "918-458-5700",
            "fax_number": "918-458-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E DOWNING ST STE 100",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744643354",
            "telephone_number": "918-458-5700",
            "fax_number": "918-458-5790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 E Downing St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tahlequah",
            "state": "OK",
            "postal_code": "744643354",
            "country_code": "US",
            "telephone_number": "918-458-5700",
            "fax_number": "918-458-5790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RAJI M GILL DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "RAJI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-458-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "OK",
            "license": "3753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100125770A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "684532300",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oklahoma Urology Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elaine Mary Quintana, M.D.
• Charlene Radebaugh, LPC
• Paul Edward Rader, D.D.S.
• Juliann Maria Rados, OD
• Heather Ragsdale
• Carrie Anne Ramos
• Ethan Randall
• Jessica Randolph, LPC, PA
• Calli Cheyanne Raper
• Samiya Rashid, DO

• Urology Physician in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Urology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.