Active NPI
Manu Raj, M.D.
- Hospitalist Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- ME113511
- Practice address
- 2810 W Saint Isabel St
Suite 201
Tampa, FL 33607-6375 - Phone
- (813) 890-8004
- Fax
- (813) 290-9691
- NPI assigned
- Jun 21, 2007
- 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 |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | ME113511 | FL | Primary |
Addresses
Primary practice location
2810 W Saint Isabel St
Suite 201
Tampa, FL 33607-6375
Mailing address
PO Box 20065
Tampa, FL 33622-0065
Phone (813) 890-8004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007198600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4315 Highland Park Blvd
Suite D
Lakeland, FL 33813-1639
Phone (863) 816-5884
850 Peter Bryce Blvd
Tuscaloosa, AL 35401-7457
Phone (205) 348-1770
9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone (239) 343-2606
Hospital & facility affiliations
- Lakeland Regional Medical Center
- DCH Regional Medical Center
- Gulf Coast Medical Center Lee Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Health System Inc | Current | Accepting new patients | |
| Advanced Care Hospitalists PL | Hospitalist | Current | Accepting new patients |
| Capstone Health Services Foundation PC | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients | |
| Capstone Health Services Foundation PC | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients | |
| Faculty Physicians of Internal Medicine, S.C. | Past | Accepting new patients | |
| Aurora Health Care Metro, Inc. | Past | Accepting new patients |
Locations
2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500
809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661
850 Peter Bryce Blvd
Tuscaloosa, AL 35401
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344
4315 Highland Park Blvd
Ste D
Lakeland, FL 33813
Phone (863) 816-5884
2 Columbia Dr
Tampa, FL 33606
Phone (813) 844-7100
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- mraj62791@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 10
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.
-
- Hospitalist Physician
- Lakeland, FL
- NPI 1457389587
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1942058557
-
- Family Medicine Physician
- Tuscaloosa, AL
- NPI 1740397751
-
- General Acute Care Hospital
- Tuscaloosa, AL
- NPI 1841394418
-
- Federally Qualified Health Center (FQHC)
- Tuscaloosa, AL
- NPI 1063422756
-
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Neurology Physician
- Tuscaloosa, AL
- NPI 1255212353
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1861447179
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1831173699
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lakeland, FL
- NPI 1144228446
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1366281750
-
- General Acute Care Hospital
- Tuscaloosa, AL
- NPI 1841394418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1548466287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20065",
"city": "TAMPA",
"state": "FL",
"postal_code": "336220065",
"telephone_number": "813-890-8004",
"fax_number": "813-290-9691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 W SAINT ISABEL ST",
"address_2": "SUITE 201",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076375",
"telephone_number": "813-890-8004",
"fax_number": "813-290-9691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJ",
"first_name": "MANU",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-21",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME113511",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007198600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.