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DEEPAK RAJ
NPI 1174227714
Internal Medicine in Gulfport, MS

Active since March 28, 2023PECOS Enrolled
4500 13TH ST, GULFPORT, MS 39501(228) 822-6512 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 26, 2026, Mar 29, 2023 (2 updates tracked since 2023).

About Deepak Raj NPPES

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

DEEPAK RAJ (NPI 1174227714) is an individual internal medicine provider in Gulfport, Mississippi, licensed in Mississippi (T-5157) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174227714
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDEEPAK RAJ
Location Address4500 13TH STGulfport, MS 39501-2515
Mailing Address4500 13th StGulfport, MS 39501-2515
Phone(228) 822-6512
Sole ProprietorNo
Enumeration DateMarch 28, 2023
Last NPPES UpdateMay 26, 20262 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1174227714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MS · T-5157
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4500 13TH ST, Gulfport, MS 39501
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deepak Raj is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 39501 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

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.

HEATHER LYN JEFFREY
Nurse Practitioner
4500 13TH ST
GULFPORT, MS 39501
Harrison County (228) 867-4000
JASON WELLS CRNA
Nurse Anesthetist, Certified Registered
4500 13TH ST
GULFPORT, MS 39501
Harrison County (228) 865-3281
MRS. CARLA ANN RUSHING AGACNP
Nurse Practitioner (Acute Care)
4500 13TH ST
GULFPORT, MS 39501
Harrison County (228) 867-4000
TONI-ANN MILLER NP
Nurse Practitioner (Acute Care)
4500 13TH ST
GULFPORT, MS 39501
Harrison County (228) 867-4000
MS. TIFFANY S SCATLIFFE CSFA
Physician Assistant (Surgical)
4500 13TH ST
GULFPORT, MS 39501
Harrison County (228) 867-4000
STANLEY TURNER CRNA
Anesthesiology
4500 13TH ST
GULFPORT, MS 39501
Harrison County (228) 818-0563
MRS. JULIE KERSH APPEL RD
Dietitian, Registered
4500 13TH ST
GULFPORT, MS 39501
Harrison County (228) 867-4054
DAVIS HUTTO CRNA
Anesthesiology
4500 13TH ST
GULFPORT, MS 39501
Harrison County (228) 818-0563

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 Deepak Raj's NPI number?

The NPI number for Deepak Raj is 1174227714. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Where is Deepak Raj located?

Deepak Raj practices at 4500 13th St, Gulfport, MS 39501. The listed phone number is (228) 822-6512.

What is Deepak Raj's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Deepak Raj enrolled in Medicare?

Yes. Deepak Raj is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Deepak Raj was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.