Individual provider Active NPI

Muhammad Ishtiaq Raja, MD

  • Internal Medicine Physician
  • Richmond, VA
National Provider Identifier
1932190451
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101237545 Issued in VA
Practice address
1200 East Broad Street
MCV Physicians
Richmond, VA 23298
Phone
(804) 327-4046
Fax
(804) 327-4047
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101237545 VA Primary

Addresses

Primary practice location

1200 East Broad Street
MCV Physicians
Richmond, VA 23298

Mailing address

P.O. Box 980663
MCV. 1001 East Broad Street
Richmond, VA 23298-0663
Phone (804) 828-5323

Other identifiers 2

IdentifierTypeStateIssuer
010228981MedicaidVA
1932190451MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20060109000950 VA Practitioner - Internal MedicinePractitioner - Emergency Medicine 6608899323 Reassigns benefits to 5 organizations
I20110323000725 DC Practitioner - Internal Medicine 6608899323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Intensivist Services PCGroup PAC ID 9335152107, 234 clinicians

Practice addresses (Care Compare)

4612 Brookemere Dr
Glen Allen, VA 23060-6504
Phone (804) 503-6650

7101 Jahnke Rd
Richmond, VA 23225-4017
Phone (804) 320-3911

Hospital & facility affiliations

  • Commonwealth Home Care Home health agency, Richmond, VA, CCN 497703
  • Welcome Homecare Home health agency, Richmond, VA, CCN 497455
  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118
  • Beaufont Health and Rehabilitation Center Nursing home, Richmond, VA, CCN 495260

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Miraja MD PA Inc Internal Medicine CurrentSince Mar 16, 2024 Accepting new patients
Bloom Geriatrics LLC Internal Medicine CurrentSince Apr 1, 2020 Accepting new patients
Geriatric Associates of Richmond Inc CurrentSince May 2, 2024 Accepting new patients
Virginia Internal Medicine Inc Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Southeastern Intensivist Services PC Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients
Reston Hospitalists, LLC Internal Medicine Past Accepting new patients
Virginia Hospitalists Inc Internal Medicine Past Accepting new patients
Express Med Urgent Care Center, Inc PastSince May 2, 2024 Accepting new patients

Locations

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

9640 Burke Lake Rd
Burke, VA 22015
Phone (347) 761-7200

1714 E Hundred Rd
Ste 101
Chester, VA 23836
Phone (804) 530-5293

3440 S Jefferson St
#12202
Falls Church, VA 22041
Phone (703) 820-1488

3440 S Jefferson St
Falls Church, VA 22041
Phone (703) 578-7108

5310 Twin Hickory Rd
Glen Allen, VA 23059
Phone (804) 360-4242

411 W Randolph Rd
Hopewell, VA 23860
Phone (804) 452-3624

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

7101 Jahnke Rd
Ste 611
Richmond, VA 23225
Phone (804) 327-4046

7101 Jahnke Rd
#611
Richmond, VA 23225
Phone (540) 498-4000

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

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 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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1932190451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 980663",
            "address_2": "MCV. 1001 EAST BROAD STREET",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232980663",
            "telephone_number": "804-828-5323",
            "fax_number": "804-828-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 EAST BROAD STREET",
            "address_2": "MCV PHYSICIANS",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23298",
            "telephone_number": "804-327-4046",
            "fax_number": "804-327-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJA",
        "first_name": "MUHAMMAD",
        "middle_name": "ISHTIAQ",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101237545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010228981",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932190451",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.