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RAJIV PHILIP MD
NPI 1063601045
Internal Medicine - Pulmonary Disease in Pasadena, CA

Active since October 16, 2007PECOS EnrolledAccepts Medicare Assignment
959 E WALNUT ST, SUITE 120, PASADENA, CA 91106(626) 795-1831(626) 795-2716 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rajiv Philip Md NPPES

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

RAJIV PHILIP MD (NPI 1063601045) is an individual pulmonary disease provider in Pasadena, California, licensed in California (A112464) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1063601045
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameRAJIV PHILIPCredential: MD
Location Address959 E WALNUT ST, SUITE 120Pasadena, CA 91106-1451
Mailing Address959 E Walnut St, Suite 120Pasadena, CA 91106-1451 · (626) 795-1831 · Fax (626) 795-2716
Phone(626) 795-1831
Fax(626) 795-2716
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateOctober 16, 2007
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1063601045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in CA · A112464
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 57013586 (OH)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License A112464 (CA)
959 E WALNUT ST, Pasadena, CA 91106
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Other Identifiers 2

MedicaidA112464CA
OtherW481CA · Medicare Group

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

Rajiv Philip 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 ID4082859830
PECOS Enrollment IDI20130326000499
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 10

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
1,453 services305 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.
847 services283 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.
566 services227 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.
113 services106 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
78 services67 patients
Irrigation and suction of lung airways to obtain cells using an endoscope 31624
This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.
38 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91106 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
96%122 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
10%20 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
81%26 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
60%55 patients3/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
62%86 patients3/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
63%57 patients3/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 51 patients
94%51 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
73%26 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
12%26 patients1/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 55 patients
2%55 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

SLEEPMED THERAPIES, INC
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
959 E WALNUT ST, SUITE 150
PASADENA, CA 91106
Los Angeles County (626) 449-3033
SLEEPMED OF CALIFORNIA
Clinic/Center (Sleep Disorder Diagnostic)
959 E WALNUT ST, SUITE 150
PASADENA, CA 91106
Los Angeles County (978) 536-7400
RAAKESH SATHYA MD, MPH
Internal Medicine (Critical Care Medicine)
959 E WALNUT ST, STE 120
PASADENA, CA 91106
Los Angeles County (626) 795-5118
ELAINE M. EATON PHD
Psychologist
959 E WALNUT ST, SUITE 212
PASADENA, CA 91106
Los Angeles County (310) 551-7120
FOOTHILL PULMONARY & CRITICAL CARE CONSULTANTS MEDICAL GROUP INC.
Internal Medicine (Critical Care Medicine)
959 E WALNUT ST, SUITE 120
PASADENA, CA 91106
Los Angeles County (626) 795-5118
DR. STANLEY S. TU M.D.
Internal Medicine
959 E WALNUT ST, SUITE 120
PASADENA, CA 91106
Los Angeles County (626) 795-1831
DR. JOHN JOSEPH VANDYKE M.D.
Internal Medicine (Pulmonary Disease)
959 E WALNUT ST, SUITE 120
PASADENA, CA 91106
Los Angeles County (626) 795-5118
BRIAN ADAMS P.T.
Physical Therapist
959 E WALNUT ST, STE #240
PASADENA, CA 91106
Los Angeles County (626) 795-2390

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 Rajiv Philip's NPI number?

The NPI number for Rajiv Philip is 1063601045. It was assigned to this individual provider in the NPPES registry on October 16, 2007.

Where is Rajiv Philip located?

Rajiv Philip practices at 959 E Walnut St Suite 120, Pasadena, CA 91106. The listed phone number is (626) 795-1831.

What is Rajiv Philip's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Rajiv Philip enrolled in Medicare?

Yes. Rajiv Philip 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 Rajiv Philip was last updated on July 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.