Individual provider Active NPI

Raj T Rajan, M.D.

  • Cardiovascular Disease Physician
  • Bradenton, FL
National Provider Identifier
1114971025
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME0059046 Issued in FL
Practice address
2010 59TH St W
Suite #4200
Bradenton, FL 34209-4687
Phone
(941) 794-3999
Fax
(941) 792-4048
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME0059046 FL Primary

Addresses

Primary practice location

2010 59TH St W
Suite #4200
Bradenton, FL 34209-4687

Mailing address

2010 59TH St W
Suite #4200
Bradenton, FL 34209-4687
Phone (941) 794-3999

Other identifiers 1

IdentifierTypeStateIssuer
375960100MedicaidFL

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
I20100615000519 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6305930256 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Florida Cardiology Network, LLCGroup PAC ID 8729260641, 83 clinicians

Practice addresses (Care Compare)

2020 59TH St W
Bradenton, FL 34209-4604
Phone (941) 792-6611

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ekg Panel of Blake Cardiovascular Disease CurrentSince Mar 3, 2015 Accepting new patients
Central Florida Cardiology Interpretations LLC CurrentSince Mar 8, 2011 Accepting new patients
West Florida Cardiology Network, LLC Cardiovascular Disease CurrentSince Oct 1, 2020 Accepting new patients
Healthcare America Medical Group, Inc. Past Accepting new patients
Cardiology Consultants Past Accepting new patients
Bradenton Cardiology Physician Network LLC Cardiovascular Disease Past Accepting new patients

Locations

2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303

315 75th St W
Bradenton, FL 34209
Phone (941) 761-1616

2010 59th St W
Ste 4200
Bradenton, FL 34209
Phone (941) 794-3999

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

6006 49th St N
Ste 200
St Petersburg, FL 33709
Phone (727) 381-9696

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4692/brand/27/csg/1/fhir/r4
  • Direct secure messaging: raj.rajan@hca4.eclinicaldirectplus.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1114971025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 59TH ST W",
            "address_2": "SUITE #4200",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094687",
            "telephone_number": "941-794-3999",
            "fax_number": "941-792-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 59TH ST W",
            "address_2": "SUITE #4200",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094687",
            "telephone_number": "941-794-3999",
            "fax_number": "941-792-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJAN",
        "first_name": "RAJ",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0059046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375960100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.