Active NPI
Muralidhara R Raju, M.D.
- Neurological Surgery Physician
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- M-17340
- Practice address
- 190 E Bannock St FL 10
Boise, ID 83712-6241 - Phone
- (208) 381-5500
- NPI assigned
- Dec 21, 2006
- Last updated
- Jul 31, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | A100400 | CA | |
| Neurological Surgery Physician | 207T00000X | M-17340 | ID | Primary |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | A100400 | CA |
Addresses
Primary practice location
190 E Bannock St FL 10
Boise, ID 83712-6241
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Other practice location 1
11190 Warner Ave
Suite 305
Fountain Valley, CA 92708-4019
Phone (714) 433-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Northwestern University Feinberg Medical School, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2983
190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-9384
222 N 2ND St
Boise, ID 83702-6130
608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970
610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 81.29
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.37
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A100400 | CA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Monterey Behavioral Health | Current | Accepting new patients | |
| County of Monterey | Current | Accepting new patients | |
| St Lukes Clinic-Treasure Valley LLC | Current | Accepting new patients | |
| St Lukes Clinic-Treasure Valley LLC | Current | Accepting new patients | |
| Orthopaedic Clinical Assoc Inc. | Past | Accepting new patients | |
| St Lukes Regional Medical Center | Past | Accepting new patients |
Locations
1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
190 E Bannock St
Fl 10
Boise, ID 83712
Phone (208) 381-5500
610 W Hays St
Boise, ID 83702
Phone (208) 345-3530
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Boise, ID
- NPI 1326336058
-
dba Natividad Medical Center
- General Acute Care Hospital
- Salinas, CA
- NPI 1205863255
-
dba St Lukes RHC - Trinity Mountain
- Family Medicine Physician
- Mountain Home, ID
- NPI 1417297821
-
dba Access to Treatment Pearl St
- Adult Mental Health Clinic/Center
- Salinas, CA
- NPI 1053126003
-
dba St Lukes Meridian Medical Center
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
-
- Specialist
- Roxbury Crossing, MA
- NPI 1578528949
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Lukes Meridian Medical Center
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
-
dba St Lukes Magic Valley - Air Ambulance
- General Acute Care Hospital
- Twin Falls, ID
- NPI 1932154705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1689738783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 E BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126241",
"fax_number": "714-433-2901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 E BANNOCK ST FL 10",
"city": "BOISE",
"state": "ID",
"postal_code": "837126241",
"telephone_number": "208-381-5500"
}
],
"practiceLocations": [
{
"address_1": "11190 Warner Ave",
"address_2": "Suite 305",
"address_purpose": "LOCATION",
"city": "Fountain Valley",
"state": "CA",
"postal_code": "927084019",
"country_code": "US",
"telephone_number": "714-433-2000",
"fax_number": "714-433-2901",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAJU",
"first_name": "MURALIDHARA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "CA",
"license": "A100400",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "ID",
"license": "M-17340",
"primary": true
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "CA",
"license": "A100400",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.