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DR. MANISHA RAJ M.D.
NPI 1023452331
Internal Medicine in Columbia, TN

Active since April 18, 2013PECOS Enrolled
76.78/100
CMS Quality Rating
1224 TROTWOOD AVE, COLUMBIA, TN 38401(931) 380-4072(931) 490-7043 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Dec 11, 2017 (2 updates tracked since 2017).

About Dr. Manisha Raj M.d. NPPES

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

DR. MANISHA RAJ M.D. (NPI 1023452331) is an individual internal medicine provider in Columbia, Tennessee, licensed in Tennessee (56290) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Cumberland Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1023452331
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MANISHA RAJCredential: M.D.
Location Address1224 TROTWOOD AVEColumbia, TN 38401-4802
Mailing AddressOne Medical Center Dr.Morgantown, WV 26506
Phone(931) 380-4072
Fax(931) 490-7043
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateApril 18, 2013
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1023452331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 56290
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 56290 (TN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1224 TROTWOOD AVE, Columbia, TN 38401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Manisha Raj M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385947993
PECOS Enrollment IDI20180521001763
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 2

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.

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.
195 services192 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
55 services54 patients

Hospital Affiliations CMS Care Compare 5

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

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440009
Location421 S Main StCrossville, TN 38555 · Cumberland County
Emergency services Birthing friendly

Fort Loudoun Medical Center

Acute Care Hospitals · Lenoir City, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440110
Location550 Fort Loudon Medical Center DrLenoir City, TN 37772 · Loudon County
Emergency services

Physicians Regional Medical Center

Acute Care Hospitals · Powell, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440120
Location7565 Dannaher Way PowellPowell, TN 37849 · Knox County
Emergency services Birthing friendly

Fort Sanders Regional Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440125
Location1901 W Clinch AveKnoxville, TN 37916 · Knox County
Emergency services Birthing friendly

Parkwest Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440173
Location9352 Park West BlvdKnoxville, TN 37923 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38401 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

76.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.24
Promoting Interoperability100
Improvement Activities40
Cost54.37

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier24 claims24 services$15.84 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier51 claims51 services$79.09 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier24 claims24 services$34.46 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 20

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

SALLY HORVATH PHARMD
Pharmacist
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Maury County (931) 381-1111
ELIZABETH FOSTER CRNA
Nurse Anesthetist, Certified Registered
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Maury County (931) 381-1111
JORDAN DANA ROSENSTEIN
Physician Assistant
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Maury County (931) 381-1111
BETHANY G SUMMERFORD MD
Internal Medicine
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Maury County (931) 381-1111
KENDRA RENNELL CRNA
Nurse Anesthetist, Certified Registered
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Maury County (931) 381-1111
ANTHONY DONALD HAASE III M.D.
Pediatrics
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Maury County (931) 380-4072
MS. JULIE ANN SACCO PT
Physical Therapist
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Maury County (931) 381-1111
BONNIE CHURCH RODER P.T.
Physical Therapist
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Maury County (931) 381-1111

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 Manisha Raj's NPI number?

The NPI number for Manisha Raj is 1023452331. It was assigned to this individual provider in the NPPES registry on April 18, 2013.

Where is Manisha Raj located?

Manisha Raj practices at 1224 Trotwood Ave, Columbia, TN 38401. The listed phone number is (931) 380-4072.

What is Manisha Raj's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Manisha Raj enrolled in Medicare?

Yes. Manisha Raj is registered in the Medicare PECOS enrollment system.

What insurance does Manisha Raj accept?

Health plans from Oscar Insurance Company list Manisha Raj 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 Manisha Raj affiliated with any hospitals?

According to CMS data, Manisha Raj is affiliated with Cumberland Medical Center, Fort Loudoun Medical Center, Physicians Regional Medical Center, Fort Sanders Regional Medical Center and Parkwest Medical Center.

When was this NPI record last updated?

The NPPES record for Manisha Raj was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.