Active NPI
Tilak D Raj, MD
- Anesthesiology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 01088823A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01088823A | IN | MD | Anesthesiology Physician |
| 21580 | OK | MD | Anesthesiology Physician |
| R3190 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia of Enid LLC | Anesthesiology | Current | Accepting new patients |
| SSM Health Care Group | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Anesthesiology | Current | Accepting new patients |
| Endeavor Health Medical Group | Anesthesiology | Current | Accepting new patients |
| Midwest Anesthesia Providers S.C | Anesthesiology | Current | Accepting new patients |
| Ans Services of Arkansas PA | Anesthesiology | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Deaconess Anesthesia Services LLC | Anesthesiology | Current | Accepting new patients |
| Saint Luke'S Physician Group Inc | Current | Accepting new patients | |
| Integral Anesthesia, LLC | Anesthesiology | Current | Accepting new patients |
| Indiana University Health Care Associates, Inc | Current | Accepting new patients | |
| Emergenchealth PLLC | Anesthesiology | Current | Accepting new patients |
| Northstar Anesthesia of Oklahoma, PLLC | Anesthesiology | Current | Accepting new patients |
| Endeavor Health Medical Group | Anesthesiology | Current | Accepting new patients |
| Northstar Anesthesia of Missouri, LLC | Anesthesiology | Current | Accepting new patients |
| SSM Health Care Group | Anesthesiology | Current | 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
- traj627143@direct.saint-lukes.org
- 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.
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
-
- Anesthesiology Physician
- Jenks, OK
- NPI 1881041515
-
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
-
- Anesthesiology Physician
- Oklahoma City, OK
- NPI 1912432048
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
Anesthesiology
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1295189082
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1093263717
-
- Anesthesiology Physician
- Enid, OK
- NPI 1235298241
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beaumont, TX
- NPI 1679557888
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.