Active NPI
DRS. Raja & Raja, PA
- Specialist
- Englewood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- DRS. RAJA & RAJA, PA
- Practice address
- 900 Pine St
Suite 215
Englewood, FL 34223-4418 - Phone
- (941) 475-5672
- Fax
- (941) 473-1456
- NPI assigned
- Jul 6, 2011
- Last updated
- Jul 6, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Premala Raja, M.D.
- Title
- Owner
- Phone
- (941) 475-5672
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
900 Pine St
Suite 215
Englewood, FL 34223-4418
Mailing address
900 Pine St
Suite 215
Englewood, FL 34223-4418
Phone (941) 475-5672
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0988050 | DRS Raja & Raja PA | Certificate of waiver | Jun 18, 2027 |
National Provider Directory
National Provider DirectoryLocations
900 Pine St
Ste 215218
Englewood, FL 34223
1900 S Tamiami Trl
Venice, FL 34293
Phone (941) 475-5672
1990 S Tamiami Trl
Venice, FL 34293
Phone (941) 408-7188
Practitioners & affiliated clinicians
Practitioners 17
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Cardiovascular Disease Physician
- Englewood, FL
- NPI 1194736504
-
- Gastroenterology Physician
- North Port, FL
- NPI 1215043682
-
- Nurse Practitioner
- Ocala, FL
- NPI 1396456505
-
- Interventional Cardiology Physician
- Orlando, FL
- NPI 1407838881
-
- Family Nurse Practitioner
- Naples, FL
- NPI 1386360535
-
- Family Nurse Practitioner
- Ocala, FL
- NPI 1629415500
-
- Cardiovascular Disease Physician
- Lake Wales, FL
- NPI 1720080096
-
- Cardiovascular Disease Physician
- Palatka, FL
- NPI 1982762712
-
- Nurse Practitioner
- Belleview, FL
- NPI 1568614303
-
- Cardiovascular Disease Physician
- Davenport, FL
- NPI 1992700363
-
- Cardiovascular Disease Physician
- Englewood, FL
- NPI 1316938723
-
- Interventional Cardiology Physician
- Orlando, FL
- NPI 1265759898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1309910400000",
"number": "1174810642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 PINE ST",
"address_2": "SUITE 215",
"city": "ENGLEWOOD",
"state": "FL",
"postal_code": "342234418",
"telephone_number": "941-475-5672",
"fax_number": "941-473-1456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 PINE ST",
"address_2": "SUITE 215",
"city": "ENGLEWOOD",
"state": "FL",
"postal_code": "342234418",
"telephone_number": "941-475-5672",
"fax_number": "941-473-1456"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS. RAJA & RAJA, PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-06",
"last_updated": "2011-07-06",
"status": "A",
"authorized_official_last_name": "RAJA",
"authorized_official_first_name": "PREMALA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "941-475-5672",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.