Active NPI
Gary Benjamin Rajah II, M.D
- Neurological Surgery Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 4301101109
- Practice address
- 4201 Saint Antoine St
6E DRH
Detroit, MI 48201-2153 - Phone
- (313) 745-4523
- NPI assigned
- Jul 11, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 4301101109 | MI | Primary |
Addresses
Primary practice location
4201 Saint Antoine St
6E DRH
Detroit, MI 48201-2153
Mailing address
1221 Sixth St Ste 300
Traverse City, MI 49684-2360
Phone (231) 392-0640
Other practice location 1
1221 Sixth St Ste 300
Traverse City, MI 49684-2360
Phone (231) 392-0640
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Gary.rajah@gts.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Wayne State University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1221 6TH St
Traverse City, MI 49684-2701
Phone (231) 392-0643
Hospital & facility affiliations
- Munson Medical Center
- Munson Healthcare Cadillac Hospital
- Munson Healthcare Otsego Memorial Hospital
- Munson Healthcare Manistee Hospital
- Charlevoix Area Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 12 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301101109 | MI | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Medical Center | Current | Accepting new patients | |
| Munson Medical Center | Neurological Surgery | Current | Accepting new patients |
| Munson Medical Center | Current | Accepting new patients | |
| Munson Medical Center | Past | Accepting new patients |
Locations
2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031
1221 Sixth St
Ste 300
Traverse City, MI 49684
Phone (231) 392-0640
1221 Sixth St
Traverse City, MI 49684
Phone (231) 392-0640
1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
Interoperability endpoints
- grajah@direct.mhc.net
- gary.rajah@gts.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Traverse City, MI
- NPI 1083761860
-
- Psychiatric Hospital Unit
- Traverse City, MI
- NPI 1891586103
-
- Neurological Surgery Physician
- Traverse City, MI
- NPI 1942685045
-
- General Acute Care Hospital
- Traverse City, MI
- NPI 1952307852
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cadillac, MI
- NPI 1841696754
-
- Critical Access Hospital
- Charlevoix, MI
- NPI 1346260692
-
- General Acute Care Hospital
- Manistee, MI
- NPI 1407949191
-
- General Acute Care Hospital
- Gaylord, MI
- NPI 1124028972
-
- General Acute Care Hospital
- Traverse City, MI
- NPI 1952307852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617321600000",
"number": "1457616849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 SIXTH ST STE 300",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842360",
"telephone_number": "231-392-0640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 SAINT ANTOINE ST",
"address_2": "6E DRH",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012153",
"telephone_number": "313-745-4523"
}
],
"practiceLocations": [
{
"address_1": "1221 Sixth St Ste 300",
"address_purpose": "LOCATION",
"city": "Traverse City",
"state": "MI",
"postal_code": "496842360",
"country_code": "US",
"telephone_number": "231-392-0640",
"fax_number": "231-392-0643",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAJAH",
"first_name": "GARY",
"middle_name": "BENJAMIN",
"name_suffix": "II",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-11",
"last_updated": "2021-04-02",
"certification_date": "2021-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MI",
"license": "4301101109",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Gary.rajah@gts.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "1221 Sixth St Ste 300",
"city": "Traverse City",
"state": "MI",
"country_code": "US",
"postal_code": "496842360",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.