Individual provider Active NPI

Jay M Raja, MD

  • Gastroenterology Physician
  • North Port, FL
National Provider Identifier
1215043682
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME40189 Issued in FL
Practice address
18669 Tamiami TRL Ste B
North Port, FL 34287-7388
Phone
(941) 423-5040
Fax
(941) 423-5042
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME40189 FL Primary

Addresses

Primary practice location

18669 Tamiami TRL Ste B
North Port, FL 34287-7388

Mailing address

18669 Tamiami TRL Ste B
North Port, FL 34287-7388
Phone (941) 423-5040

Other practice location 1

900 E Pine St
Suite 215
Englewood, FL 34223
Phone (941) 475-5672

Other identifiers 3

IdentifierTypeStateIssuer
120856500MedicaidFL
100014120OtherFLMEDICARE RR
79827OtherFLBCBS

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
I20051207000466 FL Practitioner - GastroenterologyPractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 3476450461 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Practice addresses (Care Compare)

18669 Tamiami Trail
Suite B
North Port, FL 34287
Phone (941) 423-5040

Hospital & facility affiliations

  • Adventhealth Port Charlotte Hospital, Port Charlotte, FL, CCN 100077

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Port Charlotte Hma Physician Management LLC CurrentSince Jun 1, 2024 Accepting new patients
Florida Hospital Physician Group Inc Gastroenterology CurrentSince Mar 29, 2026 Accepting new patients
Florida Trauma Services, LLC CurrentSince May 23, 2023 Accepting new patients
Port Charlotte Hma Physician Management LLC Gastroenterology CurrentSince Jun 1, 2024 Accepting new patients
DRS. Raja & Raja, PA CurrentSince Jan 1, 2012 Accepting new patients
Center for Digestive Disease PastSince Sep 7, 1999 Accepting new patients

Locations

900 Pine St
Ste 215
Englewood, FL 34223
Phone (941) 475-5672

900 Pine St
Ste 218
Englewood, FL 34223
Phone (941) 475-5672

320 Racetrack Rd NW
Ste 100B
Ft Walton Bch, FL 32547
Phone (850) 357-8151

18669 Tamiami Trl
Ste B
North Port, FL 34287
Phone (941) 423-5040

1641 Tamiami Trl
Ste 2
Pt Charlotte, FL 33948
Phone (941) 255-3499

1990 S Tamiami Trl
Venice, FL 34293
Phone (941) 408-7188

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: jraja4477490@adventhealth.direct-ci.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.

Hospital & facility affiliations 1

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1215043682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18669 TAMIAMI TRL STE B",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342877388",
            "telephone_number": "941-423-5040",
            "fax_number": "941-423-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18669 TAMIAMI TRL STE B",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342877388",
            "telephone_number": "941-423-5040",
            "fax_number": "941-423-5042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 E Pine St",
            "address_2": "Suite 215",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "FL",
            "postal_code": "34223",
            "country_code": "US",
            "telephone_number": "941-475-5672",
            "fax_number": "941-473-1456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJA",
        "first_name": "JAY",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME40189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120856500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "100014120",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "79827",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Port, FL

Sources for this page

Verify at the official NPI Registry.