Individual provider Active NPI

Anita Raj, PA

  • Physician Assistant
  • Pittsfield, MA
National Provider Identifier
1982176772
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA6615 Issued in MA
Practice address
510 North St Ste 7
Pittsfield, MA 01201-4127
Phone
(413) 447-2300
NPI assigned
Dec 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363A00000X PA6615 MA Primary

Addresses

Primary practice location

510 North St Ste 7
Pittsfield, MA 01201-4127

Mailing address

52 Fifer LN
Lexington, MA 02420-1225
Phone (978) 413-0358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20191025002033 MA Practitioner - Physician Assistant 0547592453 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA6615MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pittsfield Medical Associates, Inc. Single Specialty CurrentSince Jan 27, 2026 Accepting new patients

Locations

188 East St
Ste 102
Pittsfield, MA 01201
Phone (413) 442-2100

510 North St
Ste 7
Pittsfield, MA 01201
Phone (413) 447-2300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18602/brand/1/csg/1/fhir/r4
  • Direct secure messaging: anita.raj.2@18602.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1982176772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 FIFER LN",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024201225",
            "telephone_number": "978-413-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 NORTH ST STE 7",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014127",
            "telephone_number": "413-447-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJ",
        "first_name": "ANITA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA6615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.