DR. ASHOK SUNDER RAJ M.D.
NPI 1093744070
Internal Medicine - Nephrology in Pasadena, CA

Active since July 01, 2006PECOS EnrolledAccepts Medicare Assignment
35.12/100
CMS Quality Rating
301 S FAIR OAKS AVE STE 405, PASADENA, CA 91105(626) 794-7075(626) 404-7545 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Ashok Sunder Raj M.d. NPPES

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

DR. ASHOK SUNDER RAJ M.D. (NPI 1093744070) is an individual nephrology provider in Pasadena, California, licensed in California (A41453) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1976).

NPPES Registry Identity

NPI1093744070
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. ASHOK SUNDER RAJCredential: M.D.
Location Address301 S FAIR OAKS AVE STE 405Pasadena, CA 91105-2562
Mailing Address301 S Fair Oaks Ave Ste 405Pasadena, CA 91105-2562 · (626) 794-7075 · Fax (626) 404-7545
Fax(626) 404-7545
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateJuly 1, 2006
Last NPPES UpdateMarch 6, 2026
NPPES CertifiedMarch 6, 2026
NPI 1093744070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in CA · A41453
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

301 S FAIR OAKS AVE STE 405, Pasadena, CA 91105

Other Identifiers 2

Medicaid00A414530CA
Other00A414530CA · Blue Shield Provider #

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

Dr. Ashok Sunder Raj 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 ID1052220118
PECOS Enrollment IDI20040902000613
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 8

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.

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.
643 services148 patients
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.
355 services145 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
176 services48 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.
52 services27 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.
50 services40 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.
34 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91105 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.

35.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality26.66
Improvement Activities0
Cost48.19

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.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier13 claims390 services$0.29 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims1,440 services$0.89 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers16 claims16 services$11.85 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 7

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

General Practice
301 S FAIR OAKS AVE STE 405
PASADENA, CA 91105
Internal Medicine (Nephrology)
301 S FAIR OAKS AVE STE 405
PASADENA, CA 91105
Internal Medicine
301 S FAIR OAKS AVE STE 405, PASADENA
PASADENA, CA 91105
Nurse Practitioner
301 S FAIR OAKS AVE STE 405
PASADENA, CA 91105
Internal Medicine
301 S FAIR OAKS AVE STE 405
PASADENA, CA 91105
Internal Medicine (Nephrology)
301 S FAIR OAKS AVE STE 405
PASADENA, CA 91105
Internal Medicine (Nephrology)
301 S FAIR OAKS AVE STE 405
PASADENA, CA 91105

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 Ashok Sunder Raj's NPI number?

The NPI number for Ashok Sunder Raj is 1093744070. It was assigned to this individual provider in the NPPES registry on July 1, 2006.

Where is Ashok Sunder Raj located?

Ashok Sunder Raj practices at 301 S Fair Oaks Ave Ste 405, Pasadena, CA 91105. The listed phone number is (626) 794-7075.

What is Ashok Sunder Raj's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Ashok Sunder Raj enrolled in Medicare?

Yes. Ashok Sunder Raj 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 Ashok Sunder Raj was last updated on March 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.