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FAJAR RAZA MD
NPI 1053990622
Psychiatry & Neurology - Psychiatry in New Haven, CT

Active since April 02, 2021PECOS EnrolledAccepts Medicare Assignment
646 GEORGE ST, NEW HAVEN, CT 06511(203) 784-8700(203) 784-8703 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 15, 2025, May 19, 2025, Apr 2, 2021 (3 updates tracked since 2021).

About Fajar Raza Md NPPES

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

FAJAR RAZA MD (NPI 1053990622) is an individual psychiatry provider in New Haven, Connecticut, licensed in Connecticut (80352) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1053990622
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameFAJAR RAZACredential: MD
Location Address646 GEORGE STNew Haven, CT 06511-5322
Mailing Address646 George StNew Haven, CT 06511-5322 · (203) 784-8700 · Fax (203) 784-8703
Phone(203) 784-8700
Fax(203) 784-8703
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 2, 2021
Last NPPES UpdateJuly 30, 20253 updates tracked since enumeration
NPPES CertifiedJuly 30, 2025
✔ NPI 1053990622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CT · 80352
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
646 GEORGE ST, New Haven, CT 06511
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Other Names 1

Other Name (5)N/a N/a

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

Fajar Raza 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 ID5193236446
PECOS Enrollment IDI20250614000132
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06511 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
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

SARAH JANE GEORGES
Student in an Organized Health Care Education/Training Program
646 GEORGE ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 789-5150
LINDA OSHIN
Student in an Organized Health Care Education/Training Program
646 GEORGE ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 789-5150
DR. ASINI ENOKA GUNAWARDANA M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
646 GEORGE ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 789-4040
MRS. REBECCA MICHELE KALETSKY GOLDBERG LCSW
Social Worker (Clinical)
646 GEORGE ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 789-4038
EMILY TONN
Student in an Organized Health Care Education/Training Program
646 GEORGE ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 488-0471
MISS JENNIFER MAJDICK MA
Student in an Organized Health Care Education/Training Program
646 GEORGE ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 789-5150

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 Fajar Raza's NPI number?

The NPI number for Fajar Raza is 1053990622. It was assigned to this individual provider in the NPPES registry on April 2, 2021. The provider is also known as N/A N/A.

Where is Fajar Raza located?

Fajar Raza practices at 646 George St, New Haven, CT 06511. The listed phone number is (203) 784-8700.

What is Fajar Raza's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Fajar Raza enrolled in Medicare?

Yes. Fajar Raza 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.

When was this NPI record last updated?

The NPPES record for Fajar Raza was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.