Individual provider Active NPI

Pavithra Raja, P.T. & PA-C

  • Physician Assistant
  • Rochester, NY
National Provider Identifier
1790013878
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601011408 Issued in MI
Practice address
601 Elmwood Ave
Rochester, NY 14642-0001
Phone
(585) 275-9555
NPI assigned
Nov 30, 2009
Last updated
May 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601011408 MI Primary
Physical Therapist 225100000X 5501014933 MI

Addresses

Primary practice location

601 Elmwood Ave
Rochester, NY 14642-0001

Mailing address

601 Elmwood Ave Box 655
Rochester, NY 14642-8655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230217001228 MI Practitioner - Physician Assistant 9638541766 Reassigns benefits to 3 organizations
I20250515003403 NY Practitioner - Physician Assistant 9638541766 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cognosis Health HillsideGroup PAC ID 5890158901, 15 clinicians

Practice addresses (Care Compare)

10761 S Saginaw St
Suite D
Grand Blanc, MI 48439-8168
Phone (810) 428-1181

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-9555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
57.96 of 100Reported as group
Quality
21.71
Promoting interoperability
12
Improvement activities
40
Cost
78.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5501014933MIMDPhysical Therapist
031002NYMDOccupational Therapist
5601011408MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cognosis Health PastSince Oct 22, 2023 Accepting new patients
Indiana Advanced Psychiatry PastSince Jan 21, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: praja569247@direct.urmc.rochester.edu

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1259539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1790013878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX 655",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146428655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJA",
        "first_name": "PAVITHRA",
        "credential": "P.T. & PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-30",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601011408",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014933",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.