Active NPI
Raja A. Nazir, M.D.
- Interventional Cardiology Physician
- Wilmington, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 35070473
- Practice address
- 630 W Main St Ste 105
Wilmington, OH 45177-2171 - Phone
- (937) 283-9888
- NPI assigned
- Apr 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 35-07-0473N | OH | |
| Interventional Cardiology Physician | 207RI0011X | 35070473 | OH | Primary |
Addresses
Primary practice location
630 W Main St Ste 105
Wilmington, OH 45177-2171
Mailing address
540 Lincoln Park Blvd
Suite 200
Dayton, OH 45429-6401
Phone (937) 298-8058
Other practice location 1
540 Lincoln Park Blvd
Suite 200
Kettering, OH 45429-6401
Phone (937) 298-8058
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2321080 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1141 N Monroe Dr
Xenia, OH 45385-1619
Phone (937) 490-2270
1380 E Stroop Rd
Kettering, OH 45429-4926
Phone (937) 293-3486
1501 W Chisholm St
Alpena, MI 49707-1401
Phone (989) 356-7390
3535 Pentagon Blvd
Beavercreek, OH 45431-1705
3535 Pentagon Park Blvd
Suite 400
Dayton, OH 45431-1705
Phone (937) 490-2264
3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8646
4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309
4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751
540 Lincoln Park Blvd
Suite 200
Dayton, OH 45429-6403
Phone (937) 298-8058
7677 Yankee St
Suite 140
Dayton, OH 45459-3475
Phone (866) 224-9472
Hospital & facility affiliations
- Kettering Health Main Campus
- Kettering Health Dayton
- Kettering Health Miamisburg
- Mymichigan Medical Center Alpena
- Soin Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 35 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35070473 | OH | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kettering Independent Medical Group Inc | Cardiovascular Disease | Current | Accepting new patients |
| Mary Rutan Hospital | Current | Accepting new patients | |
| Mymichigan Medical Center Alpena | Current | Accepting new patients | |
| Mary Rutan Hospital | Current | Accepting new patients | |
| Mymichigan Medical Center Alpena | Cardiovascular Disease | Current | Accepting new patients |
| Mary Rutan Hospital | Current | Accepting new patients | |
| Mary Rutan Hospital | Past | Accepting new patients | |
| Kettering Medical Center | Past | Accepting new patients |
Locations
1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000
460 Long Rapids Plz
Alpena, MI 49707
Phone (989) 356-0141
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
3535 Pentagon Blvd
Ste 320
Beavercreek, OH 45431
Phone (937) 490-2270
1134 N Main St
Ste 2500
Bellefontaine, OH 43311
Phone (937) 292-3494
205 E Palmer Rd
Bellefontaine, OH 43311
Phone (937) 592-4015
3535 Southern Blvd
#1E
Kettering, OH 45429
Phone (937) 395-8124
540 Lincoln Park Blvd
Ste 200
Kettering, OH 45429
Phone (937) 293-1117
3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221
4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910
4000 Miamisburg Centerville Rd
Ste 100
Miamisburg, OH 45342
Phone (937) 643-9939
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
825 N Main St
Ste 130
Springboro, OH 45066
Phone (937) 401-7583
Networks
- devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
- devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
- OH PPO
- devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
- KY PPO
- devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
- KY PPO C-SNP
Interoperability endpoints
- ranazir@yourcarecommunity.org
- rnazir186630@direct.ketteringhealth.org
- rnazir142830@mymichiganhealth.midirect.net
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
Cardiovascular Disease
-
- Emergency Medicine Physician
- Alpena, MI
- NPI 1508332792
-
- General Acute Care Hospital
- Bellefontaine, OH
- NPI 1548254931
-
- Rural Health Clinic/Center
- Jackson Center, OH
- NPI 1528806510
-
- General Practice Physician
- Bellefontaine, OH
- NPI 1891997169
-
- Internal Medicine Physician
- Alpena, MI
- NPI 1942302302
Cardiovascular Disease
-
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
-
- Family Medicine Physician
- West Liberty, OH
- NPI 1003875949
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beavercreek, OH
- NPI 1760764849
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
-
- General Acute Care Hospital
- Miamisburg, OH
- NPI 1316966518
-
- Rural Acute Care Hospital
- Sault Sainte Marie, MI
- NPI 1619791431
-
- Rural Acute Care Hospital
- Alpena, MI
- NPI 1619914652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578355200000",
"number": "1003871963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 LINCOLN PARK BLVD",
"address_2": "SUITE 200",
"city": "DAYTON",
"state": "OH",
"postal_code": "454296401",
"telephone_number": "937-298-8058",
"fax_number": "937-298-5638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 W MAIN ST STE 105",
"city": "WILMINGTON",
"state": "OH",
"postal_code": "451772171",
"telephone_number": "937-283-9888"
}
],
"practiceLocations": [
{
"address_1": "540 Lincoln Park Blvd",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Kettering",
"state": "OH",
"postal_code": "454296401",
"country_code": "US",
"telephone_number": "937-298-8058",
"fax_number": "937-298-5638",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAZIR",
"first_name": "RAJA",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2020-01-07",
"certification_date": "2020-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OH",
"license": "35-07-0473N",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "OH",
"license": "35070473",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2321080",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.