Individual provider Active NPI

Tilak D Raj, MD

  • Anesthesiology Physician
  • Indianapolis, IN
National Provider Identifier
1760450084
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01088823A Issued in IN
Practice address
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone
(317) 577-4200
Fax
(317) 577-9503
NPI assigned
Mar 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X R3190 TX
Anesthesiology Physician 207L00000X 21580 OK
Anesthesiology Physician 207L00000X 01088823A IN Primary

Addresses

Primary practice location

1701 N Senate Blvd
Indianapolis, IN 46202-1239

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

750 NE 13th St
Oac 200
Oklahoma City, OK 73104-5010
Phone (405) 271-4351

Other practice location 2

700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-2078

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address traj@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, MO, TX, IN, IL, AR6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20060127000342 OK Practitioner - Anesthesiology 7517971609 Reassigns benefits to 3 organizations
I20180417002952 MO Practitioner - Anesthesiology 7517971609 Reassigns benefits to 4 organizations
I20211221001625 TX Practitioner - Anesthesiology 7517971609 Reassigns benefits to 2 organizations
I20221121001555 IN Practitioner - Anesthesiology 7517971609 Reassigns benefits to 1 organization
I20240307003603 IL Practitioner - Anesthesiology 7517971609 Reassigns benefits to 1 organization
I20240322003322 AR Practitioner - Anesthesiology 7517971609

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integral Anesthesia LLCGroup PAC ID 9638461973, 159 clinicians
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians

Practice addresses (Care Compare)

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (919) 744-3131

2830 Calder St
Beaumont, TX 77702-1809
Phone (409) 236-7395

3080 College St
Beaumont, TX 77701-4606
Phone (409) 212-5002

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01088823AINMDAnesthesiology Physician
21580OKMDAnesthesiology Physician
R3190TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia of Enid LLC Anesthesiology CurrentSince Feb 13, 2017 Accepting new patients
SSM Health Care Group CurrentSince Jul 1, 2023 Accepting new patients
Christus Trinity Clinic Texas Anesthesiology CurrentSince Jan 9, 2023 Accepting new patients
Endeavor Health Medical Group Anesthesiology CurrentSince Jan 23, 2024 Accepting new patients
Midwest Anesthesia Providers S.C Anesthesiology CurrentSince Jun 1, 2023 Accepting new patients
Ans Services of Arkansas PA Anesthesiology CurrentSince Jan 20, 2025 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 9, 2023 Accepting new patients
Deaconess Anesthesia Services LLC Anesthesiology CurrentSince Feb 1, 2018 Accepting new patients
Saint Luke'S Physician Group Inc CurrentSince Apr 1, 2023 Accepting new patients
Integral Anesthesia, LLC Anesthesiology CurrentSince May 10, 2025 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Dec 12, 2022 Accepting new patients
Emergenchealth PLLC Anesthesiology CurrentSince Dec 1, 2021 Accepting new patients
Northstar Anesthesia of Oklahoma, PLLC Anesthesiology CurrentSince Mar 3, 2020 Accepting new patients
Endeavor Health Medical Group Anesthesiology Current Accepting new patients
Northstar Anesthesia of Missouri, LLC Anesthesiology CurrentSince May 1, 2018 Accepting new patients
SSM Health Care Group Anesthesiology CurrentSince Jul 1, 2023 Accepting new patients

Locations (25 of 35)

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

2 Memorial Dr
Alton, IL 62002
Phone (618) 462-0710

5208 Reliable Pkwy
Chicago, IL 60686

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000

3635 Vista Ave
Saint Louis, MO 63110
Phone (314) 577-8022

1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-8222

10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

600 S Monroe St
Enid, OK 73701
Phone (580) 233-2300

3029 W Main St
Jenks, OK 74037
Phone (918) 346-5002

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501

5501 N Portland Ave
Oklahoma City, OK 73112
Phone (405) 604-6000

Interoperability endpoints

  • Direct secure messaging: traj627143@direct.saint-lukes.org
  • Direct secure messaging: traj@direct.iuhealth.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 3

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": "1142035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1760450084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N SENATE BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021239",
            "telephone_number": "317-577-4200",
            "fax_number": "317-577-9503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 NE 13th St",
            "address_2": "OAC 200",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045010",
            "country_code": "US",
            "telephone_number": "405-271-4351",
            "fax_number": "405-271-8695",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 E Marshall Ave",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015580",
            "country_code": "US",
            "telephone_number": "903-315-2078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJ",
        "first_name": "TILAK",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-11",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "R3190",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "21580",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01088823A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "traj@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1701 N Senate Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.