MR. RAGHURAMAN R VIDHUN MD NPI 1578680062

NPI Information

  • NPI: 1578680062
  • Provider Name: MR. RAGHURAMAN R VIDHUN, MD
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 455 CHASE PKWY
    WATERBURY, CT
    ZIP 06708
  • Phone: (203) 573-1435

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NPI Details

MR. Raghuraman R Vidhun, MD is an interventional cardiology internal medicine in Waterbury, CT with 30 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 (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist (HCPCS:93458)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician (HCPCS:93016)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan (HCPCS:78431)
  • Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch (HCPCS:92928)
  • Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional (HCPCS:93228)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Coronary angioplasty and stenting (HCPCS:NAN05)
  • Pacemaker insertion or repair (HCPCS:NAN10)

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 3/30/2025

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