Atif Raja

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

036.158966 Issued in IL

Practice address

3333 W Deyoung St
Marion, IL 62959-5884

Phone

(210) 617-4445

NPI assigned

Jun 18, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, MO, AR3 enrollments

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 3

Specialty

Pathology

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Illinois Gi Specialists LLCGroup PAC ID 1658337456, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fa120b5c-6699-49eb-9b43-fa51a183b3cb.gastro.prod.fhir.ema-api.com/fhir/r4/

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.

• Southern Illinois Gi Specialists LLC

  • Gastroenterology Physician
  • Carbondale, IL
  • NPI 1093775405
  Medicare reassignment Care Compare group NPD
• Pathology Services Laboratory PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Russellville, AR
  • NPI 1831158369
  Medicare reassignment NPD
• SSM Health Care Group

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1306589544

  Anatomic Pathology & Clinical Pathology, IL

  Medicare reassignment NPD
• Pathology Services Laboratory PA

  • Clinical Medical Laboratory
  • Russellville, AR
  • NPI 1093889347

  Anatomic Pathology & Clinical Pathology

  NPD
• SSM Health Care Group

  • Dermatopathology Physician
  • Saint Louis, MO
  • NPI 1932844495
  NPD
• Medcore Diagnostics LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Marion, IL
  • NPI 1811515984
  NPD (past)

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1477083806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6918 CAMP BULLIS RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782562236",
            "telephone_number": "102-617-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 W DEYOUNG ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595884",
            "telephone_number": "210-617-4445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 E North Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152124756",
            "country_code": "US",
            "telephone_number": "412-359-6037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJA",
        "first_name": "ATIF",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-18",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036.158966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naeem A Qureshi, MD
• Rachel Gunn
• Megan Ragan, LSW
• Mohammed Rahimparast, MD
• Joshua K. Rahman
• Erica Ralls, RDH,BSDH,CDHC
• Yeni J Ramos, BS,BCBA
• Eler Diane Randall, RN, APN
• Clayton Danford Rangitsch, DMD
• Traci Ann Rann

• Anatomic Pathology & Clinical Pathology Physician in Marion, IL
• Providers in Marion, IL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.
• 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.

Verify at the official NPI Registry.