Individual provider Active NPI

Mohammad Laiq Raja, MD

  • Interventional Cardiology Physician
  • El Paso, TX
National Provider Identifier
1548250244
Registry record updated Jul 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
K0162 Issued in TX
Practice address
4301 N Mesa St
Suite 100
El Paso, TX 79902-1121
Phone
(915) 532-6767
Fax
(915) 532-4023
NPI assigned
Oct 24, 2005
Last updated
Jul 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X K0162 TX
Cardiovascular Disease Physician 207RC0000X 94-365 NM
Interventional Cardiology Physician 207RI0011X 94-365 NM
Interventional Cardiology Physician 207RI0011X K0162 TX Primary

Addresses

Primary practice location

4301 N Mesa St
Suite 100
El Paso, TX 79902-1121

Mailing address

4301 N Mesa St
Suite 100
El Paso, TX 79902-1121
Phone (915) 532-6767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20081210000684 TX Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 4183785066 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Paso Cardiology Associates, P.a.Group PAC ID 9335130137, 24 clinicians

Practice addresses (Care Compare)

1418 George Dieter Dr
Suite 210
El Paso, TX 79936-7651
Phone (915) 532-6767

4301 N Mesa St
Suite 104
El Paso, TX 79902-1118
Phone (915) 532-6767

7450 Remcon Cir
El Paso, TX 79912-3508
Phone (915) 532-6767

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
12.29 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
40.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94-365NMMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Hospitals Limited CurrentSince May 6, 2014 Accepting new patients
Tenet Hospitals Limited Cardiovascular Disease CurrentSince May 6, 2014 Accepting new patients
El Paso Cardiology Associates, P.a. Cardiovascular Disease CurrentSince Feb 1, 2001 Accepting new patients
Michael J Deluca MD PA Interventional Cardiology Past Accepting new patients

Locations

4301 N Mesa St
Ste 100
El Paso, TX 79902
Phone (915) 532-6767

7450 Remcon Cir
El Paso, TX 79912
Phone (915) 532-6767

2001 N Oregon St
#M
El Paso, TX 79902
Phone (915) 577-6011

4301 N Mesa St
Ste 104
El Paso, TX 79902
Phone (915) 407-7900

1418 George Dieter Dr
Ste 210
El Paso, TX 79936
Phone (915) 532-6767

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500508800000",
    "number": "1548250244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 N MESA ST",
            "address_2": "SUITE 100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021121",
            "telephone_number": "915-532-6767",
            "fax_number": "915-532-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 N MESA ST",
            "address_2": "SUITE 100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021121",
            "telephone_number": "915-532-6767",
            "fax_number": "915-532-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJA",
        "first_name": "MOHAMMAD",
        "middle_name": "LAIQ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2017-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "K0162",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NM",
            "license": "94-365",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NM",
            "license": "94-365",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "K0162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.