Individual provider Active NPI

Rajiv Raja, M.D.

  • Anesthesiology Physician
  • Chndler, AZ
National Provider Identifier
1386641975
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
32470 Issued in AZ
Practice address
1955 W Frye Rd
Chandler Regional Hospital
Chndler, AZ 85224
Phone
(480) 728-3000
Fax
(480) 507-2971
NPI assigned
Jun 28, 2005
Last updated
Jul 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 32470 AZ Primary

Addresses

Primary practice location

1955 W Frye Rd
Chandler Regional Hospital
Chndler, AZ 85224

Mailing address

PO Box 1847
Gilbert, AZ 85299-1847
Phone (480) 507-2961

Other identifiers 1

IdentifierTypeStateIssuer
852378MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040524001449 AZ Practitioner - Anesthesiology 3072594365 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1900 N Higley Rd
Gilbert, AZ 85234-1604
Phone (480) 453-2034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32470AZMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Nov 1, 2024 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Rajiv Raja MD PC Anesthesiology CurrentSince Jan 1, 2005 Accepting new patients
Gateway Anesthesia and Pain Associates PLLC Anesthesiology CurrentSince Jul 15, 2016 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Nov 1, 2024 Accepting new patients
Rajiv Raja MD PC Anesthesiology Current Accepting new patients
Christopher Beneduce Anesthesiology PastSince Jul 7, 2024 Accepting new patients
Plaza Anesthesia Group P.L.L.C. Anesthesiology Past Accepting new patients

Locations

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1386641975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1847",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852991847",
            "telephone_number": "480-507-2961",
            "fax_number": "480-507-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 W FRYE RD",
            "address_2": "CHANDLER REGIONAL HOSPITAL",
            "city": "CHNDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "480-728-3000",
            "fax_number": "480-507-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJA",
        "first_name": "RAJIV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "32470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "852378",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.