Premala Raja, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME40190 Issued in FL

Practice address

900 E Pine Street
Ste 215
Englewood, FL 34223

Phone

(941) 475-5672

Fax

(941) 473-1456

NPI assigned

Aug 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine, Nuclear Medicine

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Englewood Hospital Hospital, Englewood, FL, CCN 100267
• HCA Florida Fawcett Hospital Hospital, Port Charlotte, FL, CCN 100236

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: praja@drsrajarajapa.gwaydirect.com

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.

• DRS. Raja & Raja, PA

  • Specialist
  • Englewood, FL
  • NPI 1174810642
  Medicare reassignment Authorized official
• Millennium Cardiovascular Associates Inc

  • Interventional Cardiology Physician
  • Venice, FL
  • NPI 1013633072

  Cardiovascular Disease

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Englewood Community Hospital, Inc.

  • General Acute Care Hospital
  • Englewood, FL
  • NPI 1639122864
  Care Compare affiliation
• Fawcett Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Port Charlotte, FL
  • NPI 1417901406
  Care Compare affiliation

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1194736504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E PINE STREET",
            "address_2": "STE 215",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "34223",
            "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 E PINE STREET",
            "address_2": "STE 215",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "34223",
            "telephone_number": "941-475-5672",
            "fax_number": "941-473-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJA",
        "first_name": "PREMALA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME40190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00050930",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "79881",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Publix Super Markets Inc
• Brandy Lynn Pusateri, LMT
• Bernice Cynthia Putnam
• Lindsey Soles Quinn, AU.D.
• Raja & Raja, MD, PA
• Joseph Lee Randolph, MPT
• Ray Oke Enterprises Inc
• Sadie Demilo Razwilavich
• Redfish Cove Inpatient Services LLC
• Carol Ann Reed, LPTA

• Cardiovascular Disease Physician in Englewood, FL
• Providers in Englewood, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.

Verify at the official NPI Registry.