Active NPI
Jay S Raju, MD
- Specialist
- San Jose, CA
National Provider Identifier
1699706556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A335520
- Practice address
- 2030 Forest Ave Ste 100
San Jose, CA 95128-4833 - Phone
- (408) 297-2416
- Fax
- (408) 297-0216
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A335520 | CA | |
| Specialist | 174400000X | A335520 | CA | Primary |
Addresses
Primary practice location
2030 Forest Ave Ste 100
San Jose, CA 95128-4833
Mailing address
2030 Forest Ave Ste 100
San Jose, CA 95128-4833
Phone (408) 297-2416
Other names 1
- Dr. Jagjit S Raju
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2030 Forest Ave
San Jose, CA 95128-4833
Phone (408) 297-2416
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 185 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 103 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A335520 | CA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Hospital, L.P. | Past | Accepting new patients | |
| County of Santa Clara | Past | Accepting new patients |
Interoperability endpoints
- jraju11356@santaclaravalley.direct-ci.net
Organizations & group practices 3
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.
-
- Specialist
- San Jose, CA
- NPI 1609132067
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1376595777
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1699706556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2030 FOREST AVE STE 100",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951284833",
"telephone_number": "408-297-2416",
"fax_number": "408-297-0216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 FOREST AVE STE 100",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951284833",
"telephone_number": "408-297-2416",
"fax_number": "408-297-0216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJU",
"first_name": "JAY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2022-09-26",
"certification_date": "2022-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A335520",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A335520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAGJIT",
"last_name": "RAJU",
"middle_name": "S",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.