DR. GENC HAJRA M.D
NPI 1205275104
Hospitalist in Philadelphia, PA

Active since June 24, 2013PECOS EnrolledAccepts Medicare Assignment
245 N 15TH ST, MAIL STOP 427, PHILADELPHIA, PA 19102(215) 762-7698 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 11, 2026, Jan 16, 2026, Nov 4, 2020 (3 updates tracked since 2020).

About Dr. Genc Hajra M.d NPPES

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

DR. GENC HAJRA M.D (NPI 1205275104) is an individual hospitalist provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD458829) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Of Buffalo, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1205275104
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. GENC HAJRACredential: M.D
Location Address245 N 15TH ST, MAIL STOP 427Philadelphia, PA 19102-1101
Mailing Address1413 Stirling StPhiladelphia, PA 19149-2754 · (267) 679-9658
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJune 24, 2013
Last NPPES UpdateMay 11, 20263 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
✔ NPI 1205275104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in PA · MD458829
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License MT205133 (PA), MD458829 (PA)
245 N 15TH ST, Philadelphia, PA 19102

Secondary Practice Locations 3

Location 1532 W Pittsburgh StGreensburg, PA 15601-2239 · Phone (724) 832-4095 · Fax (724) 830-8613
Location 2508 S Church StMT Pleasant, PA 15666-1702 · Phone (724) 832-4095 · Fax (724) 830-8613
Location 31 Mellon WayLatrobe, PA 15650-1197 · Phone (724) 832-4095 · Fax (724) 830-8613

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Genc Hajra 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 ID4587942388
PECOS Enrollment IDI20181107000605, I20260717001900
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.

Medicare Billing Reassignments

8

Medicare enrollment records show Genc Hajra reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Transplant Surgery
8835 GERMANTOWN AVE
Philadelphia, PA 19118
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,473 clinicians in this Medicare group
Hospitalist
3300 TILLMAN DR, ROTHMAN SPECIALTY HOSPITAL
Bensalem, PA 19020
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7 clinicians in this Medicare group
Neurology
140 NUTT RD
Phoenixville, PA 19460
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 529 clinicians in this Medicare group
Family Medicine
730 S HANOVER ST
Pottstown, PA 19465
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 474 clinicians in this Medicare group
Internal Medicine
101 HOSPITAL RD
East Patchogue, NY 11772
  • Reassigned Medicare billing, New York enrollment
  • 640 clinicians in this Medicare group
Family Medicine
56 CLUB LN STE 203
Blairsville, PA 15717
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 669 clinicians in this Medicare group
Specialist
9 GALEN ST
Watertown, MA 02472
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,103 clinicians in this Medicare group
Hospitalist
990 OAK RIDGE TPKE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,085 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.

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.

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.
232 services69 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
66 services64 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital Of Buffalo

Acute Care Hospitals · Buffalo, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330279
Location565 Abbott RoadBuffalo, NY 14220 · Erie County
Emergency services Birthing friendly

Excela Health Latrobe Hospital

Acute Care Hospitals · Latrobe, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390219
LocationOne Mellon WayLatrobe, PA 15650 · Westmoreland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19102 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers40 claims40 services$17.19 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers45 claims45 services$86.19 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$32.03 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 20

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

Pathology (Anatomic Pathology & Clinical Pathology)
245 N 15TH ST, MAIL STOP 435
PHILADELPHIA, PA 19102
Pathology (Anatomic Pathology & Clinical Pathology)
245 N 15TH ST, MS 435
PHILADELPHIA, PA 19102
Emergency Medicine
245 N 15TH ST
PHILADELPHIA, PA 19102
Emergency Medicine
245 N 15TH ST
PHILADELPHIA, PA 19102
Pathology (Anatomic Pathology & Clinical Pathology)
245 N 15TH ST, MS 435
PHILADELPHIA, PA 19102
Internal Medicine
245 N 15TH ST, 6TH FLOOR, MS 427
PHILADELPHIA, PA 19102
General Acute Care Hospital (Critical Access)
245 N 15TH ST
PHILA, PA 19102
Internal Medicine
245 N 15TH ST
PHILADELPHIA, PA 19102

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 Genc Hajra's NPI number?

The NPI number for Genc Hajra is 1205275104. It was assigned to this individual provider in the NPPES registry on June 24, 2013.

Where is Genc Hajra located?

Genc Hajra practices at 245 N 15th St Mail Stop 427, Philadelphia, PA 19102. The listed phone number is (215) 762-7698.

What is Genc Hajra's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Genc Hajra enrolled in Medicare?

Yes. Genc Hajra 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.

Which organizations bill Medicare for Genc Hajra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Genc Hajra reassigns Medicare benefits to 8 organizations: Tower Health Medical Group (Philadelphia, PA), Chawla Consultants (Bensalem, PA), Phoenixville Clinic Company LLC (Phoenixville, PA), Pottstown Clinic Company LLC (Pottstown, PA), Cogent Medical Care PC (East Patchogue, NY) and 3 more organizations, listed in the Medicare section above. Each 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 Genc Hajra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Genc Hajra accept?

Health plans from Oscar Health Plan, Inc. and Oscar Insurance Company list Genc Hajra 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 Genc Hajra affiliated with any hospitals?

According to CMS data, Genc Hajra is affiliated with Mercy Hospital Of Buffalo and Excela Health Latrobe Hospital.

When was this NPI record last updated?

The NPPES record for Genc Hajra was last updated on May 11, 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.