Raja S Mahidhara, MD - Medicare Critical Care (intensivists) in Lafayette, IN

Raja S Mahidhara, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Lafayette, Indiana. He went to University Of Pittsburgh School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Inpatient Specialists Of California Pc and his current practice location is 3900 St Francis Way Ste 200, Lafayette, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 775-2800.

Raja S Mahidhara is licensed to practice in Indiana (license number 01070300A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689771016.

Contact Information

Raja S Mahidhara, MD
3900 St Francis Way Ste 200,
Lafayette, IN 47905-4940
(765) 775-2800
Not Available



Physician's Profile

Full NameRaja S Mahidhara
GenderMale
SpecialityCritical Care (intensivists)
Experience28 Years
Location3900 St Francis Way Ste 200, Lafayette, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Raja S Mahidhara attended and graduated from University Of Pittsburgh School Of Medicine in 1996
  NPI Data:
  • NPI Number: 1689771016
  • Provider Enumeration Date: 09/20/2006
  • Last Update Date: 03/11/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1153328505
  • Enrollment ID: I20220119001734

Medical Identifiers

Medical identifiers for Raja S Mahidhara such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689771016NPI-NPPES
201037400MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 01070300A (Indiana)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 01070300A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Long Beach Memorial Medical CenterLong beach, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Inpatient Specialists Of California Pc3476864448289

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Raja S Mahidhara allows following entities to bill medicare on his behalf.
Entity NameInpatient Specialists Of California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952792475
PECOS PAC ID: 3476864448
Enrollment ID: O20150617000915

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Raja S Mahidhara is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Raja S Mahidhara, MD
Po Box 781076,
Detroit, MI 48278-1076

Ph: (317) 528-4800
Raja S Mahidhara, MD
3900 St Francis Way Ste 200,
Lafayette, IN 47905-4940

Ph: (765) 775-2800

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Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Lafayette, IN

Dr. Hartmuth Bruno Bittner, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 3900 St Francis Way Ste 200, Lafayette, IN 47905
Phone: 765-775-2800    
Dr. Michael Jay Scott Sheridan, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Medicare Enrolled
Practice Location: 1116 N 16th St Ste A, Lafayette, IN 47904
Phone: 765-448-8000    Fax: 765-448-8807
Dr. Thomas X Aufiero, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 1176 N. 16th Street, Lafayette, IN 47904
Phone: 765-448-8000    Fax: 765-448-8085
Dr. Kok H Lim, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 5177 Mccarty Ln, Lafayette, IN 47905
Phone: 317-923-1787    Fax: 317-962-0853
Kenneth Samuel Stone, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 1116 N 16th St, Suite A, Lafayette, IN 47904
Phone: 765-448-8000    Fax: 765-448-8054
Dr. Douglas Charles Wallace, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 3900 St Francis Way, Ste 201, Lafayette, IN 47905
Phone: 765-446-7981    Fax: 765-446-7982

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