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DR. RAJ RAMANAN M.D.
NPI 1134475304
Internal Medicine - Critical Care Medicine in Pittsburgh, PA

Active since July 25, 2012PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
3550 TERRACE ST, PITTSBURGH, PA 15213(412) 627-2765 Get Directions Write a Review

NPPES record last updated: August 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2020, Mar 17, 2018, Nov 16, 2017 (3 updates tracked since 2017).

About Dr. Raj Ramanan M.d. NPPES

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

DR. RAJ RAMANAN M.D. (NPI 1134475304) is an individual critical care medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD461070) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Upmc Presbyterian Shadyside, and maintains a secondary practice location in Pittsburgh.

NPPES Registry Identity

NPI1134475304
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. RAJ RAMANANCredential: M.D.
Location Address3550 TERRACE STPittsburgh, PA 15213-2500
Mailing Address1400 Locust StPittsburgh, PA 15219-5114 · (412) 232-5533
Phone(412) 627-2765
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 25, 2012
Last NPPES UpdateAugust 16, 20203 updates tracked since enumeration
NPPES CertifiedAugust 16, 2020
✔ NPI 1134475304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in PA · MD461070
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
3550 TERRACE ST, Pittsburgh, PA 15213
Open in Google Maps ↗

Secondary Practice Location 1

Location 11400 Locust StPittsburgh, PA 15219-5114 · Phone (412) 232-5533

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. Raj Ramanan 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 ID6709152044
PECOS Enrollment IDI20171101000227
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.

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.
85 services43 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.
22 services21 patients

Hospital Affiliations CMS Care Compare

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

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

RAEANN KOZINKO
Nurse Anesthetist, Certified Registered
3550 TERRACE ST, SCAIFE HALL A1305
PITTSBURGH, PA 15213
Allegheny County (412) 647-2808
SHWETABH TARUN
Student in an Organized Health Care Education/Training Program
3550 TERRACE ST
PITTSBURGH, PA 15213
Allegheny County (412) 648-9891
MELANIE RENEE WELTMAN PHARMD
Pharmacist
3550 TERRACE ST
PITTSBURGH, PA 15213
Allegheny County (412) 495-8840
DR. VIJAY S GORANTLA MD, PHD
Surgery
3550 TERRACE ST, SUITE 670 SCAIFE HALL
PITTSBURGH, PA 15213
Allegheny County (412) 648-9677
DR. ROBERT H BORETSKY MD
Specialist
3550 TERRACE ST, A1305 SCAIFE HALL
PITTSBURGH, PA 15213
Allegheny County (412) 647-2808
RYAN TAYLOR MARSHALL MITCHELL MD
Plastic Surgery
3550 TERRACE ST, SCAIFE HALL STE 6B
PITTSBURGH, PA 15213
Allegheny County (412) 647-3087
MURALI MADHAV KOVVUR
Student in an Organized Health Care Education/Training Program
3550 TERRACE ST
PITTSBURGH, PA 15213
Allegheny County (412) 648-9040
MANISHA JHAMB
Internal Medicine
3550 TERRACE ST, A919 SCAIFE HALL
PITTSBURGH, PA 15213
Allegheny County (412) 647-8394

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 Raj Ramanan's NPI number?

The NPI number for Raj Ramanan is 1134475304. It was assigned to this individual provider in the NPPES registry on July 25, 2012.

Where is Raj Ramanan located?

Raj Ramanan practices at 3550 Terrace St, Pittsburgh, PA 15213. The listed phone number is (412) 627-2765.

What is Raj Ramanan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Raj Ramanan enrolled in Medicare?

Yes. Raj Ramanan 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.

Is Raj Ramanan affiliated with any hospitals?

According to CMS data, Raj Ramanan is affiliated with Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Raj Ramanan was last updated on August 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.