DEEPAK RAJ
NPI 1174227714
Internal Medicine in Gulfport, MS
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 and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Deepak Raj is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Deepak Raj reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Southaven, MS 38671
- Reassigned Medicare billing, Mississippi enrollment
- 92 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organization bills Medicare for Deepak Raj's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Deepak Raj reassigns Medicare benefits to Greenbrook Physician Services, LLC (Southaven, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Deepak Raj's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 5 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.
# Deepak Raj · NPI 1174227714
Internal Medicine physician in Gulfport, Mississippi. Individual provider, active in the CMS NPPES registry since March 28, 2023.
## Identity
- **NPI:** 1174227714 (Entity type: Individual)
- **Enumerated:** March 28, 2023
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** T-5157 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 4500 13TH ST, Gulfport, MS 39501-2515
- **Phone:** (228) 822-6512
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Greenbrook Physician Services, LLC (NPI 1801683008, Southaven, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** May 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1174227714) · Data from the CMS NPPES public registry.