Individual provider Active NPI

Tejas V Raiyani, MD

  • Internal Medicine Physician
  • Rome, GA
National Provider Identifier
1932336922
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301505797 Issued in MI
Practice address
100 John Maddox Dr NW Ste A2
Rome, GA 30165-1431
Phone
(706) 295-1184
Fax
(706) 236-1919
NPI assigned
Jun 17, 2009
Last updated
Sep 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01071289A IN
Internal Medicine Physician 207R00000X 074877 GA
Internal Medicine Physician 207R00000X 4301505797 MI Primary
Hospitalist Physician 208M00000X 4301505797 MI

Addresses

Primary practice location

100 John Maddox Dr NW Ste A2
Rome, GA 30165-1431

Mailing address

100 John Maddox Dr NW Ste A2
Rome, GA 30165-1431
Phone (706) 295-1184

Other practice location 1

1800 N Capitol Ave
NP E-140
Indianapolis, IN 46202-1218
Phone (317) 962-2894

Other identifiers 1

IdentifierTypeStateIssuer
201079990MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191022001775 VA Practitioner - Internal Medicine 7517113376 Reassigns benefits to 3 organizations
I20211213000739 MI Practitioner - Internal Medicine 7517113376 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Traverse Physician Services PCGroup PAC ID 2466963806, 119 clinicians
Vituity - Michigan Hospitalists PCGroup PAC ID 2365860996, 76 clinicians

Practice addresses (Care Compare)

1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000

1215 E Michigan Ave
Lansing, MI 48912-1811
Phone (517) 364-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Fredericksburg, LLC Internal Medicine CurrentSince Sep 1, 2019 Accepting new patients
Vituity - Michigan Hospitalists PC Internal Medicine CurrentSince Dec 1, 2021 Accepting new patients
Hospitalist Medicine Physicians of Virginia - Richmond, LLC Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
Hospitalist Medicine Physicians of Virginia LLC Internal Medicine CurrentSince Sep 1, 2019 Accepting new patients
Grand Traverse Physician Services PC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Edward W Sparrow Hospital Association Past Accepting new patients
Major Hospital Past Accepting new patients
Sparrow Specialty Hospital Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

1215 E Michigan Ave
#8W
Lansing, MI 48912
Phone (517) 364-2614

805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

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.

Hospital & facility affiliations 4

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": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1932336922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 JOHN MADDOX DR NW STE A2",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651431",
            "telephone_number": "706-295-1184",
            "fax_number": "706-236-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 JOHN MADDOX DR NW STE A2",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651431",
            "telephone_number": "706-295-1184",
            "fax_number": "706-236-1919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 N Capitol Ave",
            "address_2": "NP E-140",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462021218",
            "country_code": "US",
            "telephone_number": "317-962-2894",
            "fax_number": "317-963-5285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAIYANI",
        "first_name": "TEJAS",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-17",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01071289A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "074877",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301505797",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MI",
            "license": "4301505797",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201079990",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.