Individual provider Active NPI

Raj L Katara, MD

  • Neurology Physician
  • East Stroudsburg, PA
National Provider Identifier
1376568279
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD071383L Issued in PA
Practice address
3 Parkinson Rd
East Stroudsburg, PA 18301-8087
Phone
(570) 424-1102
Fax
(570) 517-5853
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD071383L PA Primary

Addresses

Primary practice location

3 Parkinson Rd
East Stroudsburg, PA 18301-8087

Mailing address

3 Parkinson Rd
East Stroudsburg, PA 18301-8087
Phone (570) 424-1102

Other identifiers 3

IdentifierTypeStateIssuer
C21061OtherPAGROUP RAILROAD MEDICARE
P00041001OtherPARAILROAD MEDICARE NUMBER
001955361 0001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20070201000233 PA Practitioner - NeurologyPractitioner - Sleep Medicine 1153321450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Sleep Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

3 Parkinsons Rd
East Stroudsburg, PA 18301-8087
Phone (570) 421-3872

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD071383LPAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Aug 1, 2015 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Aug 1, 2015 Accepting new patients
St. Luke's Physician Group, Inc Past Accepting new patients
Pocono MRI Imaging and Diagnostic Center, LLC PastSince Apr 30, 2003 Accepting new patients

Locations

3 Parkinsons Rd
East Stroudsburg, PA 18301
Phone (570) 424-1102

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1376568279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PARKINSON RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018087",
            "telephone_number": "570-424-1102",
            "fax_number": "570-517-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PARKINSON RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018087",
            "telephone_number": "570-424-1102",
            "fax_number": "570-517-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATARA",
        "first_name": "RAJ",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD071383L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP RAILROAD MEDICARE",
            "identifier": "C21061",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "P00041001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001955361 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.