Individual provider Active NPI

Harish Raja, MD

  • Ophthalmology Physician
  • South Miami, FL
National Provider Identifier
1811251853
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME138112 Issued in FL
Practice address
5858 SW 68TH St
South Miami, FL 33143-3693
Phone
(305) 661-8588
NPI assigned
Jun 25, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME138112 FL Primary

Addresses

Primary practice location

5858 SW 68TH St
South Miami, FL 33143-3693

Mailing address

5858 SW 68TH St
South Miami, FL 33143-3693
Phone (305) 661-8588

Other practice location 1

8250 NW 27th St Ste 311
Doral, FL 33122-1904
Phone (305) 661-8588

Other practice location 2

925 NE 30th Ter Ste 216
Homestead, FL 33033-7614
Phone (305) 661-8588

Other identifiers 1

IdentifierTypeStateIssuer
NONEMedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MA, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160915001751 CA Practitioner - Ophthalmology 1850537788 Reassigns benefits to 1 organization
I20170727003304 MA Practitioner - Ophthalmology 1850537788 Reassigns benefits to 1 organization
I20200221000473 FL Practitioner - Ophthalmology 1850537788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Icahn School of Medicine at Mount Sinai, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A James Segal MD PA MedeyeassociatesGroup PAC ID 6901889542, 7 clinicians

Practice addresses (Care Compare)

5858 SW 68TH St
South Miami, FL 33143-3693
Phone (305) 661-8588

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME138112FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A James Segal MD PA Medeyeassociates Ophthalmology CurrentSince Jan 20, 2020 Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California Current Accepting new patients
Microsurgical Eye Consultants CurrentSince Sep 4, 2018 Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California - Ucsd Medical Group Current Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California Ophthalmology CurrentSince Aug 1, 2016 Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California CurrentSince Aug 1, 2016 Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California Current Accepting new patients
Inna Ozerov MD PA Past Accepting new patients
Microsurgical Eye Consultants Ophthalmology PastSince Sep 4, 2018 Accepting new patients

Locations

9415 Campus Point Dr
La Jolla, CA 92093
Phone (619) 543-3000

File 57326
Los Angeles, CA 90074

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

8250 NW 27th St
Ste 311
Doral, FL 33122
Phone (305) 238-4901

925 NE 30th Ter
Ste 216
Homestead, FL 33033

9299 SW 152nd St
Ste 101
Palmetto Bay, FL 33157
Phone (305) 233-8043

5858 SW 68th St
South Miami, FL 33143
Phone (305) 357-1711

31 Centennial Dr
Peabody, MA 01960
Phone (978) 531-4400

Interoperability endpoints

  • Direct secure messaging: harish.raja.p1@direct.bostoneyegroup.nextgenshare.com

Organizations & group practices 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1811251853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5858 SW 68TH ST",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433693",
            "telephone_number": "305-661-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5858 SW 68TH ST",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433693",
            "telephone_number": "305-661-8588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8250 NW 27th St Ste 311",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331221904",
            "country_code": "US",
            "telephone_number": "305-661-8588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 NE 30th Ter Ste 216",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330337614",
            "country_code": "US",
            "telephone_number": "305-661-8588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJA",
        "first_name": "HARISH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-25",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME138112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NONE",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.