MANOJ RAWAL MD
NPI 1003804170
Internal Medicine - Interventional Cardiology in Peoria, AZ

Active since October 12, 2005PECOS EnrolledAccepts Medicare Assignment
83.61/100
CMS Quality Rating
13460 N 94TH DRIVE, STE J-1, PEORIA, AZ 85381(623) 876-8816(623) 298-0168 Get Directions Write a Review

NPPES record last updated: August 18, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 18, 2020, May 14, 2019, Apr 28, 2017 and 1 more (4 updates tracked since 2016).

About Manoj Rawal Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANOJ RAWAL MD (NPI 1003804170) is an individual interventional cardiology provider in Peoria, Arizona, licensed in Arizona (34083) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1003804170
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameMANOJ RAWALCredential: MD
Location Address13460 N 94TH DRIVE, STE J-1Peoria, AZ 85381-4246
Mailing Address13460 N 94th Dr Ste J1Peoria, AZ 85381-4246 · (623) 876-8816 · Fax (623) 298-0168
Fax(623) 298-0168
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateOctober 12, 2005
Last NPPES UpdateAugust 18, 20204 updates tracked since enumeration
NPPES CertifiedAugust 18, 2020
NPI 1003804170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in AZ · 34083
Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 34083 (AZ)
13460 N 94TH DRIVE, Peoria, AZ 85381

Other Identifiers 3

Medicaid944018AZ
OtherWCFKQAZ · Sun Health Physicians
OtherP00263967AZ · Medicare Rail Road

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Manoj Rawal Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800837675
PECOS Enrollment IDI20050523000175
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 59

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
2,612 services1,237 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
2,060 services1,300 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
1,011 services482 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
1,001 services81 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
967 services469 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
890 services217 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85381 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.57
Promoting Interoperability99
Improvement Activities30

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier20 claims20 services$2,181.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Clinical Cardiac Electrophysiology)
13460 N 94TH DRIVE, SUITE J-1
PEORIA, AZ 85381
Nurse Practitioner
13460 N 94TH DRIVE, STE. J-1
PEORIA, AZ 85381
Nurse Practitioner (Family)
13460 N 94TH DRIVE, SUITE J-1
PEORIA, AZ 85381
Physician Assistant
13460 N 94TH DRIVE, SUITE J-1
PEORIA, AZ 85381
Internal Medicine (Interventional Cardiology)
13460 N 94TH DRIVE, STE J-1
PEORIA, AZ 85381
Physician Assistant
13460 N 94TH DRIVE, SUITE J-1
PEORIA, AZ 85381
Internal Medicine (Interventional Cardiology)
13460 N 94TH DRIVE, SUITE J-1
PEORIA, AZ 85381

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Manoj Rawal's NPI number?

The NPI number for Manoj Rawal is 1003804170. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Manoj Rawal located?

Manoj Rawal practices at 13460 N 94th Drive Ste J-1, Peoria, AZ 85381. The listed phone number is (623) 876-8816.

What is Manoj Rawal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Manoj Rawal enrolled in Medicare?

Yes. Manoj Rawal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Manoj Rawal accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and UnitedHealthcare list Manoj Rawal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Manoj Rawal was last updated on August 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.