NPIMap

Individual provider Active NPI

Furqan F Raja, MD

  • Nephrology Physician
  • Saint Peters, MO
National Provider Identifier
1013973213
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2010032833 Issued in MO
Practice address
70 Jungermann Circle
Suite 405
Saint Peters, MO 63376
Phone
(636) 720-0310
Fax
(636) 720-0311
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 47257 MN
Nephrology Physician 207RN0300X 51102-20 WI
Nephrology Physician 207RN0300X 47257 MN
Nephrology Physician 207RN0300X 2010032833 MO Primary
Internal Medicine Physician 207R00000X 2010032833 MO

Addresses

Primary practice location

70 Jungermann Circle
Suite 405
Saint Peters, MO 63376

Mailing address

70 Jungermann Circle
Suite 405
Saint Peters, MO 63376
Phone (636) 720-0310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101018001214 MO Practitioner - Internal MedicinePractitioner - Nephrology 5597856153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midwest Nephrology Associates IncGroup PAC ID 8224088802, 9 clinicians

Practice addresses (Care Compare)

70 Jungerman Cirlce
Suite 302
Saint Peters, MO 63376-1637

70 Jungermann Cir
Suite 302
Saint Peters, MO 63376-1637
Phone (636) 720-0310

Hospital & facility affiliations

  • FMC - Wentzville Dialysis facility, Wentzville, MO, CCN 262629
  • Saint Charles County Dialysis Dialysis facility, Saint Peters, MO, CCN 262521
  • FMC Dialysis Services of Lincoln County Dialysis facility, Troy, MO, CCN 262600
  • DaVita Lake St Louis Dialysis Dialysis facility, Lake Saint Louis, MO, CCN 262541
  • Barnes-Jewish St Peters Hospital Hospital, Saint Peters, MO, CCN 260191
  • SSM St Joseph Hospital West Hospital, Lake Saint Louis, MO, CCN 260200
  • SSM St Joseph Health Center Hospital, Saint Charles, MO, CCN 260005
  • Progress West Hospital Hospital, Ofallon, MO, CCN 260219
  • Christian Hospital Northeast Hospital, Saint Louis, MO, CCN 260180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2010032833MOMDInternal Medicine Physician
51102-20WIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnes Jewish St. Peters Hospital Inc. PastSince Jan 1, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: fraja33667@direct.acumenmd.com
  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • Direct secure messaging: fraja135539@direct.carenet.org

Organizations & group practices 2

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1013973213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 JUNGERMANN CIRCLE",
            "address_2": "SUITE 405",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "63376",
            "telephone_number": "636-720-0310",
            "fax_number": "636-720-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 JUNGERMANN CIRCLE",
            "address_2": "SUITE 405",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "63376",
            "telephone_number": "636-720-0310",
            "fax_number": "636-720-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJA",
        "first_name": "FURQAN",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "47257",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "51102-20",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MN",
            "license": "47257",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "2010032833",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2010032833",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.