Individual provider Active NPI

Suganthi Rajah, MD

  • Family Medicine Physician
  • Manassas, VA
National Provider Identifier
1760689491
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101251913 Issued in VA
Practice address
9715 Liberia Ave
Manassas, VA 20110-5837
Phone
(571) 229-1797
Fax
(571) 229-1798
NPI assigned
Jun 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23288 WV
Family Medicine Physician 207Q00000X 0101251913 VA Primary

Addresses

Primary practice location

9715 Liberia Ave
Manassas, VA 20110-5837

Mailing address

PO Box 758963
Baltimore, MD 21275-8963
Phone (804) 968-5700

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address srajah2882@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address srajah2882@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20090206000579 WV Practitioner - Family Practice 7315002334 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians

Practice addresses (Care Compare)

912 Somerset Blvd
Suite 102
Charles Town, WV 25414-3954
Phone (304) 725-2273

Hospital & facility affiliations

  • Jefferson Medical Center Hospital, Ranson, WV, CCN 511319

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23288WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Healthcare Physicians, Inc. Family Medicine CurrentSince Apr 2, 2015 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jan 1, 2023 Accepting new patients
West Virginia University Medical Corporation Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
University Healthcare Physicians Inc CurrentSince Apr 2, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

912 Somerset Blvd
Ste 102
Charles Town, WV 25414
Phone (304) 725-2273

912 Somerset Blvd
Charles Town, WV 25414
Phone (304) 725-2663

171 Taylor St
Harpers Ferry, WV 25425
Phone (304) 535-6343

2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436

2500 Foundation Way
Martinsburg, WV 25401
Phone (304) 264-9202

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Interoperability endpoints

  • Direct secure messaging: srajah2882@direct.wvuhsdirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1760689491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 758963",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212758963",
            "telephone_number": "804-968-5700",
            "fax_number": "804-217-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9715 LIBERIA AVE",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105837",
            "telephone_number": "571-229-1797",
            "fax_number": "571-229-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJAH",
        "first_name": "SUGANTHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "23288",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101251913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "srajah2882@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "912 Somerset Blvd Ste 102",
            "city": "Charles Town",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254143954",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "srajah2882@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "912 Somerset Blvd",
            "city": "Charles Town",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254143953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.