DR. RAGHURAM MATTA MD
NPI 1245243344
Internal Medicine in Detroit, MI
NPI Status: Active since August 13, 2006
- Individual
- Male
- Internal Medicine
- PECOS Enrolled
About RAGHURAM MATTA
This page provides the complete NPI Profile along with additional information for Raghuram Matta, an internist established in Detroit, Michigan with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1245243344 assigned on August 2006. The practitioner's primary taxonomy code is 207R00000X with license number 4301061964 (MI). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1245243344
- Provider Name
- DR. RAGHURAM MATTA MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4646 JOHN R ST DETROIT, MI 48201
- Location Phone
- (313) 576-3724
- Mailing Address
- 4646 JOHN R ST DETROIT, MI 48201
- Mailing Phone
- (313) 576-3724
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-13-2006
- Last Update Date
- 07-08-2007
- Code Navigator
An internist like Raghuram Matta is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4301061964
- License State
- MI
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Medicare Participation & PECOS Enrollment Status
Raghuram Matta is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 48201 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $134.28
- Minimum New Patient Price $58.04
- Maximum New Patient Price $177.36
- Average New Patient Copayment $33.57
- Minimum New Patient Copayment $14.51
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $102.35
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $143.49
- Average Established Patient Copayment $25.58
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $35.87
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 4 | 5 | 2 | 4 | 3 | 3 | 4 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 4 | 4 | 6 | 3 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 4 + 4 + 6 + 3 + 8 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1245243344 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1528046505 | JULIA SWITZER PA Individual | Physician Assistant | 4646 JOHN R ST DETROIT, MI 48201 (313) 576-3319 |
| 1316907348 | SHABBIR AHMED M.D. Individual | Internal Medicine (Medical Oncology) | 4646 JOHN R ST DETROIT, MI 48201 (313) 576-3306 |
| 1841252822 | DR. NEERAJA RAMACHANDRA M.D. Individual | Internal Medicine | 4646 JOHN R ST VAMC DETROIT, MI 48201 (313) 576-4693 |
| 1770546608 | EDWARDO THOMAS MUNOZ CRNA Individual | Nurse Anesthetist, Certified Registered | 4646 JOHN R ST DETROIT, MI 48201 (313) 576-1000 |
| 1053374942 | BABYSAROJINI CHIRUMAMILLA M.D Individual | Psychiatry & Neurology (Geriatric Psychiatry) | 4646 JOHN R ST DETROIT, MI 48201 (313) 576-1000 |
| 1386609121 | DR. THOMAS M MCCULLOUGH MD Individual | Psychiatry & Neurology (Psychiatry) | 4646 JOHN R ST DETROIT, MI 48201 (313) 576-1000 |
| 1700836343 | MS. KATHLEEN MARY COBB APRN, BC Individual | Nurse Practitioner (Family) | 4646 JOHN R ST DETROIT, MI 48201 (313) 576-1000 |
| 1821048331 | MRS. DORIS FLEMING APRN.BC,CDE Individual | Nurse Practitioner (Adult Health) | 4646 JOHN R ST DETROIT, MI 48201 (313) 576-1000 |
| 1639121890 | DR. PRAVEENA MUNGARA M.D Individual | Internal Medicine | 4646 JOHN R ST JOHN D DINGELL VA MEDICAL CENTER DETROIT, MI 48201 (313) 576-1000 |
| 1396798179 | DR. PATRICIA LYNN JOHNS AUD Individual | Audiologist | 4646 JOHN R ST AUDIOLOGY (11G-AS) VA MED CTR DETROIT, MI 48201 (313) 576-1000 |
| 1538116520 | MRS. JANE RUSSELL DEAN MSN,NP Individual | Nurse Practitioner | 4646 JOHN R ST DETROIT, MI 48201 (313) 576-3966 |
| 1154368637 | SHIVA S RAU MD Individual | Internal Medicine | 4646 JOHN R ST 11PC, PRIMARY CARE,JOHN D. DINGELL VA MEDICAL CENTER, DETROIT, MI 48201 (313) 576-1000 |
| 1851332118 | MS. SALLY HEARD Individual | Nurse Practitioner (Adult Health) | 4646 JOHN R ST DETROIT, MI 48201 (313) 576-1000 |
| 1528001021 | MR. NICANOR ADARNA ROMERO JR. RPT Individual | Physical Therapist | 4646 JOHN R ST DETROIT, MI 48201 (313) 576-1000 |
| 1164451951 | DR. BARBARA JEAN SIEPIERSKI MD Individual | Internal Medicine (Geriatric Medicine) | 4646 JOHN R ST 11G DETROIT, MI 48201 (313) 576-1000 |
| 1215961578 | CHRISTOPHER ELLIOTT MCCARTHY MOT,OTR Individual | Occupational Therapist | 4646 JOHN R ST DETROIT, MI 48201 (313) 576-1000 |
| 1720012040 | MRS. LOURDES M DEMPSEY MPT Individual | Physical Therapist | 4646 JOHN R ST DETROIT, MI 48201 (313) 576-1000 |
| 1235154220 | DR. ARLENE M GOLD O.D. Individual | Optometrist | 4646 JOHN R ST DETROIT, MI 48201 (313) 576-1000 |
| 1437177649 | DR. SHAFEEQ SAJID KHAN M.D Individual | Internal Medicine | 4646 JOHN R ST DETROIT, MI 48201 (313) 576-1000 |
| 1164442372 | DR. NABIHA KHOURY M.D Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 4646 JOHN R ST DETROIT, MI 48201 (313) 576-1000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245243344, enumerated in the NPI registry as an "individual" on August 13, 2006
The provider is located at 4646 John R St Detroit, Mi 48201 and the phone number is (313) 576-3724
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $134.28 with an average copayment of $33.57 for new patient appointments. Established patients should expect a typical charge of $102.35 and an average copayment of 25.58. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on August 13, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.