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MR. RAGHURAMAN R VIDHUN MD NPI 1578680062


NPI Information

NPI: 1578680062
Provider Name: MR. RAGHURAMAN R VIDHUN, MD
Classification: Internal Medicine - 207RI0011X
Entity Type: Individual

Specialization: Interventional Cardiology

PECOS Registration: Yes

Address:
455 CHASE PKWY
WATERBURY, CT
ZIP 06708
Phone: (203) 573-1435
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MR. Raghuraman R Vidhun, MD is an interventional cardiology internal medicine in Waterbury, CT with 29 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. MR. Raghuraman R Vidhun, MD NPI is 1578680062. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

455 CHASE PKWY
WATERBURY, CT
ZIP 06708-352
Phone: (203) 573-1435
Fax: (203) 755-7433

The NPI 1578680062 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report (HCPCS:93010)
  • Exercise or drug-induced heart and blood vessel stress test with ekg monitoring, physician interpretation and report (HCPCS:93018)
  • Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
  • Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)
  • Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart (HCPCS:93458)

The enumeration date for this NPI number is 3/22/2007 and was last updated on 3/2/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular Disease045393CONNECTICUTNo
2207RC0000XInternal MedicineCardiovascular Disease236091NEW YORKNo
3207RI0011XInternal MedicineInterventional Cardiology045393CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17946957OTHERCONNECTICUTAETNA
21578680062MEDICAIDCONNECTICUT
3001453935MEDICAIDCONNECTICUT
4045393-7359OTHERCONNECTICUTCONNECTICARE
527-87690OTHERCONNECTICUTAMERICHOICE
6010045393CT02OTHERCONNECTICUTANTHEM BCBS CT
7PENDINGOTHERCONNECTICUTRR MEDICARE
8060001822MEDICARE PINCONNECTICUT
9407405OTHERCONNECTICUTWELLCARE
10D400039793MEDICARE PINCONNECTICUT
113V1106OTHERCONNECTICUTHEALTHNET/COMMERCIAL
1227-87690OTHERCONNECTICUTUHC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.