Active NPI
Bharat Raju, M.D.
- Family Medicine Physician
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35.099710
- Practice address
- 2345 Philadelphia Dr
Dayton, OH 45406-1816 - Phone
- (937) 276-4141
- NPI assigned
- Jul 14, 2009
- Last updated
- May 2, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35.099710 | OH | Primary |
Addresses
Primary practice location
2345 Philadelphia Dr
Dayton, OH 45406-1816
Mailing address
7702 Oak Ridge CT
Crystal Lake, IL 60012-1600
Phone (815) 404-9628
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- 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
- Family Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 E Le Fevre Rd
Sterling, IL 61081-1278
Phone (815) 625-0400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.099710 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mendota Community Hospital | Current | Accepting new patients | |
| Mendota Community Hospital | Family Medicine | Current | Accepting new patients |
| CGH Medical Center | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| CGH Medical Center | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Mendota Community Hospital | Current | Accepting new patients | |
| Sidney Emergency Physicians, Inc. | Past | Accepting new patients | |
| Middletown Emergency Physicians, Inc. | Past | Accepting new patients |
Locations
1404 Washington St
Mendota, IL 61342
Phone (815) 538-1825
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
600 E 1st St
Spring Valley, IL 61362
Phone (815) 664-1477
100 E Lefevre Rd
Sterling, IL 61081
Phone (815) 625-0400
1809 Locust St
Sterling, IL 61081
Phone (815) 564-4002
Interoperability endpoints
- braju19551@cghmc.direct-ci.com
Organizations & group practices 9
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.
-
- General Acute Care Hospital
- Sterling, IL
- NPI 1902854623
-
dba OSF Medical Group-Mendota
- Family Medicine Physician
- Mendota, IL
- NPI 1407872997
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
dba CGH Medical Center-Morrison
- Durable Medical Equipment & Medical Supplies
- Morrison, IL
- NPI 1447415724
-
dba OSF Healthcare - Medical Group - Granville
- Rural Health Clinic/Center
- Granville, IL
- NPI 1225877590
-
dba OSF Saint Paul Medical Center
- Critical Access Hospital
- Mendota, IL
- NPI 1962537498
-
- Emergency Medicine Physician
- Franklin, OH
- NPI 1932108784
-
- Emergency Medicine Physician
- Sidney, OH
- NPI 1467690149
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Black River Falls, WI
- NPI 1811940331
-
- General Acute Care Hospital
- Sterling, IL
- NPI 1902854623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367452800000",
"number": "1720217581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7702 OAK RIDGE CT",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600121600",
"telephone_number": "815-404-9628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 PHILADELPHIA DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454061816",
"telephone_number": "937-276-4141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJU",
"first_name": "BHARAT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-14",
"last_updated": "2013-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.099710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.