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DR. WASIM H. RAJA M.D.
NPI 1205022084
Internal Medicine in Fountain Valley, CA

Active since September 14, 2007PECOS EnrolledAccepts Medicare Assignment
11100 WARNER AVE STE 110, FOUNTAIN VALLEY, CA 92708(714) 486-3477(833) 334-0495 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 6, 2022, Oct 9, 2020, May 7, 2020 and 1 more (4 updates tracked since 2020).

About Dr. Wasim H. Raja M.d. NPPES

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

DR. WASIM H. RAJA M.D. (NPI 1205022084) is an individual internal medicine provider in Fountain Valley, California, licensed in California (A110055) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Whidbeyhealth Medical Center, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1205022084
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. WASIM H. RAJACredential: M.D.
Location Address11100 WARNER AVE STE 110Fountain Valley, CA 92708-7500
Mailing Address11100 Warner Ave Ste 110Fountain Valley, CA 92708-7500 · (714) 486-3477 · Fax (833) 334-0495
Phone(714) 486-3477
Fax(833) 334-0495
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateSeptember 14, 2007
Last NPPES UpdateDecember 18, 20234 updates tracked since enumeration
NPPES CertifiedDecember 18, 2023
✔ NPI 1205022084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CA · A110055✔ Licensed in CA · 110055✔ Licensed in NE · 24295✔ Licensed in TX · S5744✔ Licensed in NJ · 25MA10681000✔ Licensed in CO · DR.0062832✔ Licensed in WA · MD61157145
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 ListedHospitalistTaxonomy 208M00000X · License DR.0062832 (CO)
11100 WARNER AVE STE 110, Fountain Valley, CA 92708
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Other Identifiers 1

MedicaidA110055CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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. Wasim H. Raja 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 ID6507952074
PECOS Enrollment IDI20110623000432, I20220906001819
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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
245 services39 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
147 services43 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.
32 services32 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
26 services26 patients

Hospital Affiliations CMS Care Compare

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

Whidbeyhealth Medical Center

Critical Access Hospitals · Coupeville, WA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501339
Location101 North Main StreetCoupeville, WA 98239 · Island County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92708 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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
97%36 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

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

WASIM H RAJA MD
Internal Medicine
11100 WARNER AVE STE 110
FOUNTAIN VALLEY, CA 92708
Orange County (714) 486-3477

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 Wasim Raja's NPI number?

The NPI number for Wasim Raja is 1205022084. It was assigned to this individual provider in the NPPES registry on September 14, 2007.

Where is Wasim Raja located?

Wasim Raja practices at 11100 Warner Ave Ste 110, Fountain Valley, CA 92708. The listed phone number is (714) 486-3477.

What is Wasim Raja's specialty?

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

Is Wasim Raja enrolled in Medicare?

Yes. Wasim Raja 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.

What insurance does Wasim Raja accept?

Health plans from Providence Health Plan list Wasim Raja as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Wasim Raja affiliated with any hospitals?

According to CMS data, Wasim Raja is affiliated with Whidbeyhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Wasim Raja was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.