Individual provider Active NPI

Deepak Raja, M.D.

  • Ophthalmology Physician
  • Orlando, FL
National Provider Identifier
1215143771
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME106317 Issued in FL
Practice address
6068 S Apopka Vineland Rd
Suite 10
Orlando, FL 32819-4449
Phone
(407) 704-3937
Fax
(407) 704-3920
NPI assigned
May 14, 2007
Last updated
Nov 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 28796 AL
Ophthalmology Physician 207W00000X ME106317 FL Primary

Addresses

Primary practice location

6068 S Apopka Vineland Rd
Suite 10
Orlando, FL 32819-4449

Mailing address

6068 S Apopka Vineland Rd
Suite 10
Orlando, FL 32819-4449
Phone (407) 704-3937

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
I20101203001218 FL Practitioner - Ophthalmology 9032203641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Miami, LM Miller School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Remagin LLCGroup PAC ID 3375738354, 3 clinicians

Practice addresses (Care Compare)

4750 The Grove Dr
Suite 230
Windermere, FL 34786-8425
Phone (407) 704-3937

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.95 of 100Reported as individual
Quality
83.9
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Remagin Office Surgery Services LLC CurrentSince Nov 3, 2024 Accepting new patients
Remagin, LLC Ophthalmology CurrentSince Aug 29, 2010 Accepting new patients
University of Alabama Ophthalmology Services Foundation Ophthalmology Past Accepting new patients

Locations

6068 S Apopka Vineland Rd
Ste 10
Orlando, FL 32819
Phone (407) 354-1414

4750 The Grove Dr
Ste 230
Windermere, FL 34786
Phone (407) 704-3937

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1215143771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6068 S APOPKA VINELAND RD",
            "address_2": "SUITE 10",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328194449",
            "telephone_number": "407-704-3937",
            "fax_number": "407-704-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6068 S APOPKA VINELAND RD",
            "address_2": "SUITE 10",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328194449",
            "telephone_number": "407-704-3937",
            "fax_number": "407-704-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJA",
        "first_name": "DEEPAK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "28796",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME106317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.