Individual provider Active NPI

Muhammad Raqib Raja, MD

  • Psychiatry Physician
  • Naples, FL
National Provider Identifier
1437239126
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME118482 Issued in FL
Practice address
350 7TH St N
Naples, FL 34102-5754
Phone
(239) 624-1660
Fax
(239) 624-1661
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 107595-1 NY
Psychiatry Physician 2084P0800X ME118482 FL Primary

Addresses

Primary practice location

350 7TH St N
Naples, FL 34102-5754

Mailing address

350 7TH St N
Naples, FL 34102-5754
Phone (239) 624-1660

Other identifiers 3

IdentifierTypeStateIssuer
010569600MedicaidFL
14W2JOtherFLBCBS
HS091XOtherFLMEDICARE

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
I20140310000180 FL Practitioner - Psychiatry 2264662436 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
107595-1NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Pavilion at Healthpark LLC CurrentSince Jul 12, 2014 Accepting new patients
Nchmd, Inc CurrentSince Nov 20, 2014 Accepting new patients
Nchmd Inc CurrentSince Nov 20, 2014 Accepting new patients
The Pavilion at Healthpark, LLC CurrentSince Jul 12, 2014 Accepting new patients
University of Rochester Psychiatry Past Accepting new patients
Milestone Psychiatric & Psychological Services P C Psychiatry Past Accepting new patients

Locations

9241 Park Royal Dr
Fort Myers, FL 33908
Phone (239) 985-2700

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

Interoperability endpoints

  • Direct secure messaging: mraja23178@nchhealthcaresystem.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1437239126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 7TH ST N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025754",
            "telephone_number": "239-624-1660",
            "fax_number": "239-624-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 7TH ST N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025754",
            "telephone_number": "239-624-1660",
            "fax_number": "239-624-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJA",
        "first_name": "MUHAMMAD",
        "middle_name": "RAQIB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "107595-1",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME118482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010569600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14W2J",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "HS091X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.