JAMES LIONEL RAJ MD
NPI 1063496941
Otolaryngology in Norton, VA

Q: What is James Raj's NPI number?

The NPI number for James Raj is 1063496941. It was assigned to this individual provider in the NPPES registry on December 3, 2005.

Q: What is James Raj's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for James Raj was last updated on July 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 December 03, 2005PECOS EnrolledAccepts Medicare Assignment

295 WHARTON LN NE, NORTON, VA 24273(276) 679-0321(276) 679-6498 Get Directions Write a Review

NPPES record last updated: July 27, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About James Lionel Raj Md NPPES

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

JAMES LIONEL RAJ MD (NPI 1063496941) is an individual otolaryngology provider in Norton, Virginia, licensed in Virginia (0101245034) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1971).

NPPES Registry Identity

NPI1063496941

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameJAMES LIONEL RAJCredential: MD

Location Address295 WHARTON LN NENorton, VA 24273-1541

Mailing Address999 Executive Park Blvd, Suite 201Kingsport, TN 37660-4632 · (423) 224-3250 · Fax (423) 224-3258

Phone(276) 679-0321

Fax(276) 679-6498

Sole ProprietorNo

Medical School CMSOtherGraduated 1971

Enumeration DateDecember 3, 2005

Last NPPES UpdateJuly 27, 2012

✔ NPI 1063496941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

Licenses✔ Licensed in VA · 0101245034✔ Licensed in OH · 35.048273

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

295 WHARTON LN NE, Norton, VA 24273

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Other Identifiers 9

Medicare UPINA15310OH

Other4581136OH · Aetna

Other000000119340OH · Anthem

Other1000118OH · United Health Care

Medicare PIN0526084OH

Medicare PINP00733880VA

Medicaid0508329OH

Medicare PIN019095W82VA

Medicare PINV V5990AVA

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

James Lionel Raj 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 ID2769460021

PECOS Enrollment IDI20090424000379

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 4

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

33 services23 patients

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.

30 services23 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.

19 services19 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24273 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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 11

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

DR. NIKUNJ PATEL MD

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