Active NPI
Muhammad Raqib Raja, MD
- Psychiatry Physician
- Naples, FL
National Provider Identifier
1437239126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME118482
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010569600 | Medicaid | FL | |
| 14W2J | Other | FL | BCBS |
| HS091X | Other | FL | MEDICARE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107595-1 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Pavilion at Healthpark LLC | Current | Accepting new patients | |
| Nchmd, Inc | Current | Accepting new patients | |
| Nchmd Inc | Current | Accepting new patients | |
| The Pavilion at Healthpark, LLC | Current | 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
- 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.
-
- Hematology & Oncology Physician
- Naples, FL
- NPI 1831120195
-
- Psychiatric Hospital Unit
- Ft. Myers, FL
- NPI 1932435187
-
- Durable Medical Equipment & Medical Supplies
- Naples, FL
- NPI 1033904651
-
- Psychiatric Hospital
- Fort Myers, FL
- NPI 1972899987
-
- Psychiatry Physician
- Hornell, NY
- NPI 1144261009
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.