Individual provider Active NPI

Brian Philip Rajca, M.D.

  • Internal Medicine Physician
  • Cape Coral, FL
National Provider Identifier
1083876197
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 106197 Issued in FL
Practice address
625 Del Prado Blvd S
Cape Coral, FL 33990-2667
Phone
(239) 772-3636
Fax
(239) 772-5073
NPI assigned
Jun 30, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 106197 FL Primary
Gastroenterology Physician 207RG0100X 61620-20 WI

Addresses

Primary practice location

625 Del Prado Blvd S
Cape Coral, FL 33990-2667

Mailing address

625 Del Prado Blvd S
Cape Coral, FL 33990-2667
Phone (239) 772-3636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160419000005 FL Practitioner - Gastroenterology 2769616291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Indiana University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13051 University Dr
Suite 101
Fort Myers, FL 33907-5704
Phone (239) 433-3636

4790 Barkley Cir
Suite a
Fort Myers, FL 33907-7593
Phone (239) 275-8882

625 Del Prado Blvd S
Suite 200
Cape Coral, FL 33990-2667
Phone (239) 772-3636

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy294
Upper gastrointestinal (GI) endoscopy for acid reflux525

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 106197FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgery Centre of SW Florida LLC Past Accepting new patients
Surgery Centre of SW Florida LLC PastSince Jan 1, 2017 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: brian.rajca@ud.eclinicaldirectplus.com

Organizations & group practices 3

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 3

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1083876197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339902667",
            "telephone_number": "239-772-3636",
            "fax_number": "239-772-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339902667",
            "telephone_number": "239-772-3636",
            "fax_number": "239-772-5073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJCA",
        "first_name": "BRIAN",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 106197",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WI",
            "license": "61620-20",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.