Individual provider Active NPI

Raj A. Gadhia, M.D.

  • Emergency Medicine Physician
  • Brockton, MA
National Provider Identifier
1922368976
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101260017 Issued in VA
Practice address
680 Centre St
Brockton, MA 02302-3308
Phone
(508) 941-7400
NPI assigned
May 24, 2012
Last updated
Dec 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 288007 MA
Emergency Medicine Physician 207P00000X 0101260017 VA Primary

Addresses

Primary practice location

680 Centre St
Brockton, MA 02302-3308

Mailing address

680 Centre St Ste 200
Brockton, MA 02302-3308
Phone (508) 941-7400

Other practice location 1

1701 N George Mason Dr
Virginia Hospital Center Emergency Department
Arlington, VA 22205-3610
Phone (703) 558-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, ME, MA3 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
I20160908001775 DC Practitioner - Emergency Medicine 9537455076 Reassigns benefits to 5 organizations
I20200305000767 ME Practitioner - Emergency Medicine 9537455076 Reassigns benefits to 3 organizations
I20211104001225 MA Practitioner - Emergency Medicine 9537455076 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brockton Hospital, Inc.Group PAC ID 4082504733, 36 clinicians

Practice addresses (Care Compare)

680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brockton Hospital, Inc. CurrentSince Dec 1, 2022 Accepting new patients
Central Maine Medical Center CurrentSince Jan 18, 2020 Accepting new patients
Brockton Hospital, Inc. CurrentSince Dec 1, 2022 Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine CurrentSince Aug 23, 2016 Accepting new patients
Bridgton Hospital CurrentSince Feb 13, 2020 Accepting new patients
Rumford Hospital CurrentSince Feb 13, 2020 Accepting new patients
Medstar Urgent Care LLC CurrentSince Sep 1, 2019 Accepting new patients
Newton Wellesley Emergency Medicine Specialist, P .C. Emergency Medicine CurrentSince Nov 1, 2021 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Mar 8, 2021 Accepting new patients
Bridgton Hospital CurrentSince Feb 13, 2020 Accepting new patients
Signature Healthcare Medical Group Inc CurrentSince Feb 1, 2023 Accepting new patients
Commonwealth Emergency Physicians PC Emergency Medicine CurrentSince Apr 22, 2019 Accepting new patients
Fair Oaks Emergency Physicians, PLLC CurrentSince Aug 3, 2019 Accepting new patients
Central Maine Medical Center CurrentSince Jan 18, 2020 Accepting new patients
Medstar Urgent Care, LLC CurrentSince Sep 1, 2019 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Aug 23, 2016 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Current Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Mar 8, 2021 Accepting new patients
Rumford Hospital CurrentSince Feb 13, 2020 Accepting new patients

Locations

1805 Columbia Rd NW
Washington, DC 20009
Phone (202) 797-4950

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

680 Centre St
Ste 200
Brockton, MA 02302

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

20010 Century Blvd
Ste 200
Germantown, MD 20874

2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853

1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
  • Direct secure messaging: raj.gadhia@direct.signature.masshiway.net

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 1

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": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1922368976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 CENTRE ST STE 200",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023308",
            "telephone_number": "508-941-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 CENTRE ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023308",
            "telephone_number": "508-941-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 N George Mason Dr",
            "address_2": "Virginia Hospital Center Emergency Department",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222053610",
            "country_code": "US",
            "telephone_number": "703-558-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GADHIA",
        "first_name": "RAJ",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-24",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "288007",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101260017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.