Individual provider Active NPI

Chindanoor V Rajesh, MD

  • Internal Medicine Physician
  • Raleigh, NC
National Provider Identifier
1942412143
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2020-00106 Issued in NC
Practice address
4002 Barrett Dr Ste 104
Raleigh, NC 27609-6618
Phone
(984) 212-3686
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 54247-20 WI
Internal Medicine Physician 207R00000X 2020-00106 NC Primary

Addresses

Primary practice location

4002 Barrett Dr Ste 104
Raleigh, NC 27609-6618

Mailing address

4002 Barrett Dr Ste 104
Raleigh, NC 27609-6618
Phone (984) 212-3686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20110111000317 WI Practitioner - Internal Medicine 9931274016 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2020-00106NCMDInternal Medicine Physician
54247-20WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Nov 1, 2018 Accepting new patients
Alray Direct Gynecology and Intimate Health Center, PLLC CurrentSince Mar 12, 2023 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Nov 1, 2018 Accepting new patients
Leading Edge Emergency Physicians, Inc Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

10940 Raven Ridge Rd
Ste 110
Raleigh, NC 27614
Phone (919) 518-0420

4002 Barrett Dr
Ste 104
Raleigh, NC 27609
Phone (984) 212-3686

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

3301 Cranberry Blvd
Weston, WI 54476
Phone (715) 393-2100

Interoperability endpoints

  • Direct secure messaging: crajesh1254333@direct.sw.org

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1942412143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 BARRETT DR STE 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096618",
            "telephone_number": "984-212-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 BARRETT DR STE 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096618",
            "telephone_number": "984-212-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJESH",
        "first_name": "CHINDANOOR",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "54247-20",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2020-00106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.