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RAJESH RAINA M.D.
NPI 1205934437
Internal Medicine in Oakland Gardens, NY

Active since September 20, 2006PECOS Enrolled
21422 73RD AVE, OAKLAND GARDENS, NY 11364(718) 464-4444 Get Directions Write a Review

NPPES record last updated: April 24, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rajesh Raina M.d. NPPES

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

RAJESH RAINA M.D. (NPI 1205934437) is an individual internal medicine provider in Oakland Gardens, New York, licensed in New York (217735) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205934437
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRAJESH RAINACredential: M.D.
Location Address21422 73RD AVEOakland Gardens, NY 11364-2914
Mailing Address21422 73rd AveOakland Gardens, NY 11364-2914 · (718) 347-3000 · Fax (718) 347-4362
Phone(718) 464-4444
Sole ProprietorYes
Enumeration DateSeptember 20, 2006
Last NPPES UpdateApril 24, 2017
✔ NPI 1205934437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 217735
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.
21422 73RD AVE, Oakland Gardens, NY 11364
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Other Identifiers 1

Medicare UPING39539NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rajesh Raina M.d. 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 11364 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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

Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
50%1,487 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
28%10,559 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
61%6,679 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
36%2,477 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
75%1,785 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 53% · 1,754 patients
Patients tobacco: 6% · 1,754 patients
6%1,754 patients1/55-star benchmark: 98%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
50%2,477 patients3/55-star benchmark: 100%
View, Download and Transmit (VDT)
During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.
1%2,477 patients
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers33 claims80 services$6.03 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims16 services$1.21 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 7

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

STERN-PSYCHOLOGY P.C.
Psychologist (Clinical)
21422 73RD AVE
OAKLAND GARDENS, NY 11364
Queens County (718) 464-4444
INTERNAL MEDICINE ASSOCIATES, PC
Internal Medicine
21422 73RD AVE
OAKLAND GARDENS, NY 11364
Queens County (631) 361-2960
PATIENTS FIRST MEDICAL CARE, P.C.
Family Medicine
21422 73RD AVE
OAKLAND GARDENS, NY 11364
Queens County (718) 464-4444
DR. GLEN E MARIN D.O.
Family Medicine
21422 73RD AVE
OAKLAND GARDENS, NY 11364
Queens County (718) 464-4444
CITY MEDICAL OF UPPER EAST SIDE, PLLC
Clinic/Center (Urgent Care)
21422 73RD AVE
BAYSIDE, NY 11364
Queens County (718) 347-3500
DR. NAHRIN ALI D.O.
Family Medicine
21422 73RD AVE
OAKLAND GARDENS, NY 11364
Queens County (718) 347-3500
DR. MARC BRUCE STERNBERG ED.D, FPPR, FSMI
Psychologist (Clinical)
21422 73RD AVE
OAKLAND GARDENS, NY 11364
Queens County (718) 464-4444

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 Rajesh Raina's NPI number?

The NPI number for Rajesh Raina is 1205934437. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Rajesh Raina located?

Rajesh Raina practices at 21422 73rd Ave, Oakland Gardens, NY 11364. The listed phone number is (718) 464-4444.

What is Rajesh Raina's specialty?

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

Is Rajesh Raina enrolled in Medicare?

Yes. Rajesh Raina is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rajesh Raina was last updated on April 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.