NPIMap

Individual provider Active NPI

Vijay N. Raja, MD

  • Interventional Cardiology Physician
  • Little Rock, AR
National Provider Identifier
1265691976
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
E9263 Issued in AR
Practice address
7 Shackleford West Blvd
Little Rock, AR 72211
Phone
(501) 664-5860
NPI assigned
Jun 6, 2008
Last updated
Apr 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X E9263 AR Primary

Addresses

Primary practice location

7 Shackleford West Blvd
Little Rock, AR 72211

Mailing address

7 Shackleford West Blvd
Little Rock, AR 72211-3886

Other practice location 1

5201 Harry Hines Blvd
House Staff & Gme
Dallas, TX 75235-7708
Phone (214) 590-8058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150916001083 AR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3971810474 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Tulane University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Heart Hospital Rural Health Services, LLCGroup PAC ID 6204004815, 52 clinicians
Arkansas Heart Hospital LLCGroup PAC ID 6002838653, 85 clinicians

Practice addresses (Care Compare)

1007 E 8TH St
Danville, AR 72833-8801
Phone (501) 664-5860

149 Section Line Rd
Suite a C E
Hot Springs, AR 71913-6190
Phone (501) 664-5860

1500 Lawrence St
Batesville, AR 72501-7620
Phone (501) 664-5860

1701 S Shackleford Rd
Little Rock, AR 72211-4335

205 E Race Ave
Searcy, AR 72143-4329
Phone (501) 664-5860

209 S Portland Ave
Unit 2
Russellville, AR 72801-2339
Phone (501) 664-5860

605 Dave Ward Dr
105 Arkansas Heart Hospital Clinic
Conway, AR 72034-7138
Phone (501) 664-5860

7 Shackleford W Blvd
Little Rock, AR 72211-3886
Phone (501) 664-5860

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting90
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E9263ARMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Heart Hospital Rural Health Services, LLC CurrentSince Jul 1, 2015 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Jul 1, 2015 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Jul 1, 2015 Accepting new patients
Arkansas Heart Hospital, LLC Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

605 Dave Ward Dr
Ste 105
Conway, AR 72034
Phone (501) 504-6270

7 Shackleford West Blvd
Little Rock, AR 72211
Phone (501) 614-3671

209 S Portland Ave
Unit 2
Russellville, AR 72801
Phone (479) 967-0690

205 E Race Ave
Searcy, AR 72143
Phone (501) 279-9000

Interoperability endpoints

  • Direct secure messaging: vraja@direct-address.org

Organizations & group practices 5

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1265691976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SHACKLEFORD WEST BLVD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SHACKLEFORD WEST BLVD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72211",
            "telephone_number": "501-664-5860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5201 Harry Hines Blvd",
            "address_2": "HOUSE STAFF & GME",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752357708",
            "country_code": "US",
            "telephone_number": "214-590-8058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJA",
        "first_name": "VIJAY",
        "middle_name": "N.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-06",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AR",
            "license": "E9263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.