Individual provider Active NPI

Ravi D Raju, MD

  • Obstetrics & Gynecology Physician
  • Fort Wayne, IN
National Provider Identifier
1831189562
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01046566A Issued in IN
Practice address
7988 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone
(260) 432-4400
Fax
(260) 969-6898
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 01046566A IN Primary

Addresses

Primary practice location

7988 W Jefferson Blvd
Fort Wayne, IN 46804-4140

Mailing address

2518 E Dupont Rd
Fort Wayne, IN 46825-1675
Phone (260) 432-4400

Other identifiers 1

IdentifierTypeStateIssuer
200141310MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20090317000222 IN Practitioner - Obstetrics/Gynecology 5991862146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7988 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 432-4400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Surgeons and Physicians, LLC Obstetrics & Gynecology CurrentSince Mar 1, 2009 Accepting new patients
Associated Surgeons and Physicians, LLC CurrentSince Mar 1, 2009 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Fort Wayne Medical Education Program Past Accepting new patients
Delbello, LLC Past Accepting new patients

Locations

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

7988 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 436-0259

2518 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 969-6882

7635 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (219) 432-4400

1275 Provident Dr
Warsaw, IN 46580
Phone (574) 269-4026

Interoperability endpoints

  • Direct secure messaging: ravi.raju@nhci.eclinicaldirectplus.com
  • Direct secure messaging: rraju@asap.emadirect.md

Organizations & group practices 5

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.

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1831189562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 E DUPONT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251675",
            "telephone_number": "260-432-4400",
            "fax_number": "260-969-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7988 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044140",
            "telephone_number": "260-432-4400",
            "fax_number": "260-969-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJU",
        "first_name": "RAVI",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01046566A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200141310",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.