Imran M. Raja, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

7471387-1205 Issued in UT

Practice address

1225 Fort Union Blvd
#215
Cottonwood Heights, UT 84047-1889

Phone

(801) 233-4200

Fax

(801) 233-4239

NPI assigned

Nov 6, 2008

Sex

Male

Sole proprietor

No

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 UT

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

Specialty

Psychiatry

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ihc Health Services Inc 3,948 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Murray, UT
  • NPI 1629260880

  UT

  Medicare reassignment NPD
• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Sandy, UT
  • NPI 1942325154

  UT

  Medicare reassignment NPD
• University of Utah Behavioral Health Services

  • Psychiatry Physician
  • Salt Lake City, UT
  • NPI 1740688613

  Psychiatry, UT

  Medicare reassignment NPD
• Ihc Health Services Inc

  • Surgical Oncology Physician
  • Salt Lake City, UT
  • NPI 1750417853
  NPD
• Ihc Health Services Inc.

  • Multi-Specialty Clinic/Center
  • Salt Lake City, UT
  • NPI 1841528726
  NPD
• Ihc Health Services, Inc.

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844

  Psychiatry

  NPD
• University of Utah Behavioral Health Services

  • Sports Medicine (Psychiatry & Neurology) Physician
  • Salt Lake City, UT
  • NPI 1740158955
  NPD
• University of Utah Behavioral Health Services

  • Neurology Physician
  • Salt Lake City, UT
  • NPI 1992103873
  NPD
• Ihc Health Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Midvale, UT
  • NPI 1891810867
  NPD (past)

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1649424409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 FORT UNION BLVD",
            "address_2": "#215",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "840471889",
            "telephone_number": "801-233-4200",
            "fax_number": "801-233-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 FORT UNION BLVD",
            "address_2": "#215",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "840471889",
            "telephone_number": "801-233-4200",
            "fax_number": "801-233-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJA",
        "first_name": "IMRAN",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-06",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "7471387-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loren Psalidas, RDN
• Andrea Puchar
• Eugenia A Puche Diaz
• Claire Pugmire, PT, DPT
• Victoria Quiroz-Navarro
• Arun Rajagopal, M.D.
• Makayda Rammell
• Ashley Randall
• Lilian Randall
• Bayli Marie Ray

• All providers in Cottonwood Heights, UT
• Psychiatry Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.