Active NPI
Suraj Rajan, M.D.
- Neurology Physician
- Newport News, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 0101274705
- Practice address
- 12200 Warwick Blvd Ste 110
Newport News, VA 23601-2344 - Phone
- (757) 534-5100
- Fax
- (757) 534-5395
- NPI assigned
- Jun 27, 2013
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 2013021034 | MO | |
| Neurology Physician | 2084N0400X | D83709 | MD | |
| Neurology Physician | 2084N0400X | 57.027218 | OH | |
| Neurology Physician | 2084N0400X | 0101274705 | VA | Primary |
Addresses
Primary practice location
12200 Warwick Blvd Ste 110
Newport News, VA 23601-2344
Mailing address
856 J Clyde Morris Blvd Ste a
Newport News, VA 23601-1318
Phone (757) 316-5800
Other practice location 1
335 Glessner Ave
Mansfield, OH 44903-2269
Phone (567) 241-7700
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | srajan354680@direct.ohiohealth.com | OhioHealth Physician Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12200 Warwick Blvd
Suite 110
Newport News, VA 23601-2344
Phone (757) 534-5100
Hospital & facility affiliations
- Riverside Home Health
- Riverside Regional Medical Center
- Riverside Walter Reed Hospital
- Riverside Doctors' Hospital of Williamsburg
- Sentara Careplex Hospital
- Sentara Williamsburg Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.91 of 100
- Quality
- 92.86
- Promoting interoperability
- 94.93
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D83709 | MD | MD | Neurology Physician |
| 57.027218 | OH | MD | Neurology Physician |
| 0101274705 | VA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Physician Services Inc | Current | Accepting new patients | |
| Riverside Physician Services Inc | Current | Accepting new patients | |
| Riverside Physician Services, Inc. | Neurology | Current | Accepting new patients |
| Riverside Physician Services Inc | Past | Accepting new patients |
Locations
850 Enterprise Pkwy
Ste 1400
Hampton, VA 23666
Phone (757) 637-7500
12200 Warwick Blvd
Ste 110
Newport News, VA 23601
Phone (757) 534-5100
856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900
858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343
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.
-
- Gastroenterology Physician
- Newport News, VA
- NPI 1194929026
-
- Gastroenterology Physician
- Williamsburg, VA
- NPI 1083867311
-
- Family Medicine Physician
- Newport News, VA
- NPI 1710020623
Neurology
-
- Family Medicine Physician
- Newport News, VA
- NPI 1013933977
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Newport News, VA
- NPI 1801891023
-
- General Acute Care Hospital
- Williamsburg, VA
- NPI 1275893307
-
- General Acute Care Hospital
- Newport News, VA
- NPI 1366547747
-
- General Acute Care Hospital
- Gloucester, VA
- NPI 1528162534
-
- General Acute Care Hospital
- Hampton, VA
- NPI 1336109107
-
- General Acute Care Hospital
- Williamsburg, VA
- NPI 1619938149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655337600000",
"number": "1114367786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "856 J CLYDE MORRIS BLVD STE A",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236011318",
"telephone_number": "757-316-5800",
"fax_number": "757-534-5190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12200 WARWICK BLVD STE 110",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236012344",
"telephone_number": "757-534-5100",
"fax_number": "757-534-5395"
}
],
"practiceLocations": [
{
"address_1": "335 Glessner Ave",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "OH",
"postal_code": "449032269",
"country_code": "US",
"telephone_number": "567-241-7700",
"fax_number": "567-241-7719",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAJAN",
"first_name": "SURAJ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-27",
"last_updated": "2022-06-16",
"certification_date": "2022-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MO",
"license": "2013021034",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MD",
"license": "D83709",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OH",
"license": "57.027218",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "VA",
"license": "0101274705",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "srajan354680@direct.ohiohealth.com",
"affiliation": "Y",
"affiliationName": "OhioHealth Physician Group",
"address_1": "335 Glessner Ave",
"address_2": "MOB 2nd Fl",
"city": "Mansfield",
"state": "OH",
"country_code": "US",
"postal_code": "449032269",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.