Individual provider Active NPI

Raja A Nawaz, MD

  • Interventional Cardiology Physician
  • Chesapeake, VA
National Provider Identifier
1083828677
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
35097583 Issued in OH
Practice address
111 Medical Pkwy FL 2
Chesapeake, VA 23320-0302
Phone
(757) 312-4047
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35097583 OH
Interventional Cardiology Physician 207RI0011X 35097583 OH Primary

Addresses

Primary practice location

111 Medical Pkwy FL 2
Chesapeake, VA 23320-0302

Mailing address

667 Kingsborough SQ Ste 101
Chesapeake, VA 23320-4999

Other practice location 1

1010 Cereal Ave
Ste. 207
Hamilton, OH 45013-2784
Phone (513) 867-3331

Other identifiers 1

IdentifierTypeStateIssuer
0050762MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rnawaz459423@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, VA, KY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110825000503 OH Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 5395915581 Reassigns benefits to 1 organization
I20190822001655 VA Practitioner - Interventional Cardiology 5395915581
I20240918003312 KY Practitioner - Interventional Cardiology 5395915581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians
Mercy Health Physicians Kentucky Specialty Care LLCGroup PAC ID 1456777069, 144 clinicians

Practice addresses (Care Compare)

1010 Cereal Ave
Suite 207
Hamilton, OH 45013-2772
Phone (513) 867-3331

1532 Lone Oak Rd
Suite 415
Paducah, KY 42003-7943
Phone (270) 442-0103

4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309

4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751

5964 Golf Club LN
Fairfield Township, OH 45011-8224
Phone (513) 893-1100

6147 State Route 122
Middletown, OH 45005-5201

6147 W State Route 122
Suite 200
Middletown, OH 45005-5201
Phone (937) 294-4356

630 Eaton Ave
Hamilton, OH 45013-2767
Phone (937) 395-8646

Hospital & facility affiliations

  • Fort Hamilton Hughes Memorial Hospital Hospital, Hamilton, OH, CCN 360132
  • Mercy Health - Lourdes Hospital Hospital, Paducah, KY, CCN 180102
  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
74.14

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting29
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35097583OHMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Aug 1, 2024 Accepting new patients
Kettering Independent Medical Group Inc Cardiovascular Disease CurrentSince Dec 29, 2022 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC Cardiovascular Disease CurrentSince Aug 1, 2024 Accepting new patients
Mercy Health Physicians Kentucky LLC Cardiovascular Disease Past Accepting new patients

Locations

1532 Lone Oak Rd
Ste 415
Paducah, KY 42003

1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830

5964 Golf Club Ln
Fairfield Township, OH 45011
Phone (513) 425-7135

2449 Ross Millville Rd
Ste B50
Hamilton, OH 45013
Phone (513) 737-6068

1010 Cereal Ave
Ste 207
Hamilton, OH 45013
Phone (513) 867-3331

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

10 N Locust St
Ste D
Oxford, OH 45056
Phone (513) 523-3234

1141 N Monroe Dr
Xenia, OH 45385
Phone (937) 352-2000

Interoperability endpoints

  • Direct secure messaging: aek8026d@yourcarecommunity.org

Organizations & group practices 4

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 5

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1083828677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 KINGSBOROUGH SQ STE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204999",
            "fax_number": "513-867-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MEDICAL PKWY FL 2",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200302",
            "telephone_number": "757-312-4047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Cereal Ave",
            "address_2": "Ste. 207",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450132784",
            "country_code": "US",
            "telephone_number": "513-867-3331",
            "fax_number": "513-867-2667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAWAZ",
        "first_name": "RAJA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35097583",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OH",
            "license": "35097583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0050762",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rnawaz459423@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "1010 Cereal Ave",
            "address_2": "Ste. 207",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450132784",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1010 Cereal Ave",
            "address_2": "Ste. 207",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450132784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.