Individual provider Active NPI

Pradnya Raje, MD

  • Family Medicine Physician
  • Fairfield, IA
National Provider Identifier
1295999605
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
51950 Issued in IA
Practice address
2304 Lake TRL
Fairfield, IA 52556-9603
Phone
(334) 497-1922
NPI assigned
Jul 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 51950 IA Primary
Family Medicine Physician 207Q00000X 44298 AZ

Addresses

Primary practice location

2304 Lake TRL
Fairfield, IA 52556-9603

Mailing address

2304 Lake TRL
Fairfield, IA 52556-9603
Phone (334) 497-1922

Other practice location 1

1314 S Stuart St Ste B
Sigourney, IA 52591-1154
Phone (416) 221-1170

Other practice location 2

9700 N 91st St Ste A115
Scottsdale, AZ 85258-5036
Phone (888) 803-3370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20250828005218 IA Practitioner - Family Practice 8820260532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keokuk County Health CenterGroup PAC ID 0244138774, 23 clinicians

Practice addresses (Care Compare)

23019 Hwy 149
Sigourney, IA 52591-8341
Phone (641) 622-2720

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44298AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Keokuk County Health Center Current Accepting new patients
Keokuk County Health Center CurrentSince Sep 1, 2025 Accepting new patients
Keokuk County Health Center CurrentSince Sep 1, 2025 Accepting new patients

Locations

1314 S Stuart St
Sigourney, IA 52591
Phone (641) 622-3840

1314 S Stuart St
Ste B
Sigourney, IA 52591
Phone (641) 622-1148

23019 Highway 149
Sigourney, IA 52591
Phone (641) 622-2720

Interoperability endpoints

  • Direct secure messaging: pradnya.raje@978640322560004.direct.elationemr.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/keocohc-1efc0458

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1295999605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 LAKE TRL",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525569603",
            "telephone_number": "334-497-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 LAKE TRL",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525569603",
            "telephone_number": "334-497-1922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1314 S Stuart St Ste B",
            "address_purpose": "LOCATION",
            "city": "Sigourney",
            "state": "IA",
            "postal_code": "525911154",
            "country_code": "US",
            "telephone_number": "416-221-1170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9700 N 91st St Ste A115",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852585036",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJE",
        "first_name": "PRADNYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "51950",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "44298",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, IA

Sources for this page

Verify at the official NPI Registry.