DR. RAJ K MATURI (NPI# 1366448631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366448631 |
| Entity Type | Individual |
| Full Name | DR. RAJ K MATURI |
| Other Name | RAJ MATURI |
| Credential | MD |
| Practice Address |
10300 N Illinois St Ste 1060 Indianapolis IN 46290-1167 |
| Mailing Address |
10300 N Illinois Street Suite 1060 Indianapolis IN 46290-1167 |
| Practice Telephone | 3178171414 |
| Practice Fax Number | 3178054587 |
| Mailing Telephone | (317) 817-1414 |
| Mailing Fax Number | 3178054587 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 01050295 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200216230 | 05 | |
| IN | ANTHEM BCBS PIN | 000000196897 | 01 |
| IN | RAILROAD MEDICARE PIN | 180042424 | 01 |
| IN | TAX ID | 352076654 | 01 |
| IN | AETNA PROVIDER ID | 5134 724 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 W 103rd St, Indianapolis, IN 462901092 | 3178171414 | 3178054587 |
| Street Address |
10300 N ILLINOIS ST STE 1060 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46290-1167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699750844 | Stephen Joel Saxe | Ophthalmology | 10300 N Illinois St Ste 1060, Indianapolis, IN 46290-1167 | 2005-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821548777 | American Behavioral Counseling | Social Worker | 10386 Spring Highland Dr, Indianapolis, IN 46290 | 2016-10-04 |
| 1518042431 | James Lamar Jones | Psychologist | 8555 Cedar Place, Suite 113a, Indianapolis, IN 46290 | 2006-10-26 |
| 1437245917 | Bradley Scott Gunter | Physical Therapy Assistant | 10601 N. Meridian St., Suite 110, Indianapolis, IN 46290 | 2006-10-04 |
| 1790261576 | Kristiana Michelle Sannella | Physician Assistant | 10590 N Meridian St # 105, Indianapolis, IN 46290 | 2018-07-16 |
| 1023534815 | Mitchell James Vansumeren | Psychologist | 10291 N Meridian St Ste 310, Indianapolis, IN 46290 | 2017-08-14 |
| 1801281670 | Elizabeth Tibbs | Physician Assistant | 10590 N Meridian St Ste 105, Indianapolis, IN 46290 | 2015-03-30 |
| 1447510722 | Bradley A Clark | Internal Medicine | 10590 N Meridian St, Indianapolis, IN 46290 | 2012-05-21 |
| 1528333861 | Edward Mark Shmukler | Internal Medicine | 10590 N Meridian St, Indianapolis, IN 46290 | 2012-03-20 |
| 1386938272 | Bryce S Lynn | Internal Medicine | 10590 N Meridian St, Indianapolis, IN 46290 | 2011-06-08 |
| 1063610301 | Babar Sultan | Otolaryngology | 170 W 106th St, Meridian Plastic Surgery, Indianapolis, IN 46290 | 2007-07-09 |
| Find all providers in zip 46290 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346860947 | Timecertain, PC | Ophthalmology | 3530 S Keystone Ave, Indianapolis, IN 46227-3611 | 2020-04-23 |
| 1316566797 | Visionary Eye Specialists LLC | Ophthalmology | 9002 N Meridian St Ste 112, Indianapolis, IN 46260-5349 | 2020-04-15 |
| 1356703821 | Anjulie Gang | Ophthalmology | 9002 N Meridian St Ste 100, Indianapolis, IN 46260-5354 | 2016-03-24 |
| 1215302567 | Chad R. Kauffman, Do, LLC | Ophthalmology | 7615 Dean Rd, Indianapolis, IN 46240-3635 | 2015-12-10 |
| 1609240613 | Benjamin C Campbell | Ophthalmology | 201 Pennsylvania Pkwy Ste 225, Indianapolis, IN 46280 | 2015-11-15 |
| 1467871194 | Mimi Merrillyn Chung | Ophthalmology | 1400 N. Ritter, #281 Community East, Community Eye Care of Indiana, Inc., Indianapolis, IN 46219 | 2014-04-09 |
| 1760756407 | George J Quigley | Ophthalmology | 7810 Providence Cir, Indianapolis, IN 46250-2267 | 2012-02-27 |
| 1962773572 | James Joseph Mccallum | Ophthalmology | 1225 Alderly Rd, Indianapolis, IN 46260-1622 | 2012-01-13 |
| 1003106824 | Frank N. Hrisomalos | Ophthalmology | 10300 N Illinois St Ste 1070, Indianapolis, IN 46290-1167 | 2011-04-13 |
| 1104065606 | Marissa Malen | Ophthalmology | 702 Rotary Cir # 115b, Indianapolis, IN 46202-5133 | 2009-02-07 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46290 |
Please comment or provide details below to improve the information on DR. RAJ K MATURI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.