Individual provider Active NPI

Rahul Raghu, M.D.

  • Glaucoma Specialist (Ophthalmology) Physician
  • San Ramon, CA
National Provider Identifier
1689025512
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
A174238 Issued in CA
Practice address
5801 Norris Canyon Rd Ste 200
San Ramon, CA 94583-5440
Phone
(925) 830-8823
NPI assigned
Jun 22, 2016
Last updated
Jan 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD470401 PA
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X MD470401 PA
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X A174238 CA Primary

Addresses

Primary practice location

5801 Norris Canyon Rd Ste 200
San Ramon, CA 94583-5440

Mailing address

5801 Norris Canyon Rd Ste 200
San Ramon, CA 94583-5440
Phone (925) 830-8823

Other practice location 1

8440 Brentwood Blvd Ste D
Brentwood, CA 94513-1300
Phone (925) 830-8823

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
I20211105001628 CA Practitioner - Ophthalmology 9335560861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Albany Medical College of Union University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Bay Eye Centers Medical CorporationGroup PAC ID 1951290709, 6 clinicians

Practice addresses (Care Compare)

5801 Norris Canyon Rd
Suite 200
San Ramon, CA 94583-5440
Phone (925) 830-8823

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.88 of 100Reported as group
Quality
97.21
Improvement activities
40
Cost
10

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery426

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A174238CAMDGlaucoma Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Bay Eye Centers Medical Corporation Ophthalmology CurrentSince Aug 12, 2021 Accepting new patients

Locations

8440 Brentwood Blvd
Ste D
Brentwood, CA 94513
Phone (925) 634-0303

5801 Norris Canyon Rd
Ste 200
San Ramon, CA 94583
Phone (925) 830-8823

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rraghu@ebec.intellechartdirect.net

Organizations & group practices 1

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 1

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": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1689025512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 NORRIS CANYON RD STE 200",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835440",
            "telephone_number": "925-830-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 NORRIS CANYON RD STE 200",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835440",
            "telephone_number": "925-830-8823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8440 Brentwood Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "CA",
            "postal_code": "945131300",
            "country_code": "US",
            "telephone_number": "925-830-8823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAGHU",
        "first_name": "RAHUL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD470401",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "PA",
            "license": "MD470401",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "CA",
            "license": "A174238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.