RAJA A. NAZIR M.D.
NPI 1003871963
Internal Medicine - Interventional Cardiology in Wilmington, OH

Q: What is Raja Nazir's NPI number?

The NPI number for Raja Nazir is 1003871963. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Q: What is Raja Nazir's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Raja Nazir was last updated on January 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 20, 2006PECOS EnrolledAccepts Medicare Assignment

77.89/100

CMS Quality Rating

630 W MAIN ST STE 105, WILMINGTON, OH 45177(937) 283-9888 Get Directions Write a Review

NPPES record last updated: January 7, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Raja A. Nazir M.d. NPPES

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

RAJA A. NAZIR M.D. (NPI 1003871963) is an individual interventional cardiology provider in Wilmington, Ohio, licensed in Ohio (35070473) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Mymichigan Medical Center Alpena, and maintains a secondary practice location in Kettering.

NPPES Registry Identity

NPI1003871963

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameRAJA A. NAZIRCredential: M.D.

Location Address630 W MAIN ST STE 105Wilmington, OH 45177-2171

Mailing Address540 Lincoln Park Blvd, Suite 200Dayton, OH 45429-6401 · (937) 298-8058 · Fax (937) 298-5638

Phone(937) 283-9888

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateApril 20, 2006

Last NPPES UpdateJanuary 7, 2020

✔ NPI 1003871963 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 OH · 35070473

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 35-07-0473N (OH)

630 W MAIN ST STE 105, Wilmington, OH 45177

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Secondary Practice Location 1

Location 1540 Lincoln Park Blvd, Suite 200Kettering, OH 45429-6401 · Phone (937) 298-8058 · Fax (937) 298-5638

Other Identifiers 1

Medicaid2321080OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Raja A. Nazir M.d. 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 ID6507894409

PECOS Enrollment IDI20050802000131, I20231102003154

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.

Medicare Billing Reassignments

Medicare enrollment records show Raja Nazir reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kettering Independent Medical Group Inc

25 mi

Orthopaedic Surgery

1 PRESTIGE PL, SUITE 910
Miamisburg, OH 45342

Reassigned Medicare billing, Ohio enrollment
984 clinicians in this Medicare group

NPI 1629387865 (937) 762-1629

Mary Rutan Hospital

64 mi

Rural Health

2231 TIMBER TRL
Bellefontaine, OH 43311

Reassigned Medicare billing, Ohio enrollment
131 clinicians in this Medicare group

NPI 1407610074 (937) 599-3115

Mymichigan Medical Center Alpena

389 mi

Emergency Medicine

1501 W CHISHOLM ST
Alpena, MI 49707

Reassigned Medicare billing, Michigan enrollment
219 clinicians in this Medicare group

NPI 1508332792 (989) 356-7202

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 23

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.

839 services512 patients

Blood test, clotting time 85610

A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.

151 services16 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

89 services89 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

78 services72 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.

72 services66 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

64 services57 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

53 services53 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

51 services51 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

45 services45 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

34 services33 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

32 services26 patients

Anticoagulant management of patient taking warfarin 93793

Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.

28 services19 patients

Repair of left upper heart chamber with implant with review by radiologist 33340

This is a procedure to fix a problem in your left upper heart chamber. An implant is used to correct the issue. After the procedure, a radiologist, a doctor who specializes in medical imaging, reviews the images to ensure everything is in order.

26 services26 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

26 services26 patients

Replacement of aortic valve through the skin and femoral artery 33361

This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.

22 services22 patients

Ultrasound evaluation of heart blood vessel with review by radiologist 93662

This is a noninvasive procedure using sound waves to capture images of your heart's blood vessels. A radiologist, an expert in interpreting these images, will review the results to check for any abnormalities. This helps to monitor your heart health.

22 services22 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

21 services18 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

19 services19 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

18 services12 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

15 services14 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

15 services15 patients

Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist 93460

This procedure involves placing a tube into the heart chambers and coronary artery. It helps diagnose heart conditions. A radiologist reviews the images obtained. It's a standard, safe procedure performed by experienced medical professionals.

14 services14 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mymichigan Medical Center Alpena

Acute Care Hospitals · Alpena, MI

5/5 CMS rating

OwnershipProprietary

CMS Certification Number230036

Location1501 W Chisholm StAlpena, MI 49707 · Alpena County

Emergency services Birthing friendly

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360079

Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County

Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360133

Location405 Grand AvenueDayton, OH 45405 · Montgomery County

Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360239

Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County

Emergency services

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360360

Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45177 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

77.89/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

84.43

Promoting Interoperability

100

Improvement Activities

Cost

37.03

Other Providers at the Same Location NPPES 4

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

LENORA A FITTON DO

Pediatrics (Adolescent Medicine)

630 W MAIN ST STE 105
WILMINGTON, OH 45177

Clinton County (937) 382-9643

DR. JAMES EDWARD SCHMIDT MD

Internal Medicine (Interventional Cardiology)

630 W MAIN ST STE 105
WILMINGTON, OH 45177

Clinton County (937) 283-9888

DR. M. NIRANJAN REDDY MD

Internal Medicine (Interventional Cardiology)

630 W MAIN ST STE 105
WILMINGTON, OH 45177

Clinton County (937) 283-9888

DR. SARA MARIE WILLIAMS AUD, CCC-A

Audiologist

630 W MAIN ST STE 105
WILMINGTON, OH 45177

Clinton County (937) 283-9888

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 Raja Nazir's NPI number?

The NPI number for Raja Nazir is 1003871963. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Raja Nazir located?

Raja Nazir practices at 630 W Main St Ste 105, Wilmington, OH 45177. The listed phone number is (937) 283-9888.

What is Raja Nazir's specialty?

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

Is Raja Nazir enrolled in Medicare?

Yes. Raja Nazir 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.

Which organizations bill Medicare for Raja Nazir's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raja Nazir reassigns Medicare benefits to 3 organizations: Kettering Independent Medical Group Inc (Miamisburg, OH), Mary Rutan Hospital (Bellefontaine, OH) and Mymichigan Medical Center Alpena (Alpena, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raja Nazir's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raja Nazir accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 6 other insurers list Raja Nazir 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.

Is Raja Nazir affiliated with any hospitals?

According to CMS data, Raja Nazir is affiliated with Mymichigan Medical Center Alpena, Kettering Health Main Campus, Kettering Health Dayton, Kettering Health Miamisburg and Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Raja Nazir was last updated on January 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.