DR. VIREN MAWOJ KUMAR RAHEJA MBBS
NPI 1215559455
Internal Medicine in West Burlington, IA

Q: What is Viren Raheja's NPI number?

The NPI number for Viren Raheja is 1215559455. It was assigned to this individual provider in the NPPES registry on May 11, 2020.

Q: What is Viren Raheja's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Viren Raheja was last updated on March 18, 2024. 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.

Active since May 11, 2020PECOS EnrolledAccepts Medicare Assignment

77.81/100

CMS Quality Rating

1225 S GEAR AVE, WEST BURLINGTON, IA 52655(319) 768-3700 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2021, May 11, 2020 (2 updates tracked since 2020).

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About Dr. Viren Mawoj Kumar Raheja Mbbs NPPES

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

DR. VIREN MAWOJ KUMAR RAHEJA MBBS (NPI 1215559455) is an individual internal medicine provider in West Burlington, Iowa, licensed in Iowa (MD50792) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Southeast Iowa Regional Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1215559455

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. VIREN MAWOJ KUMAR RAHEJACredential: MBBS

Location Address1225 S GEAR AVEWest Burlington, IA 52655-1691

Mailing Address501 S Washington Avenue, The Wright Center For Graduate Medical EducationScranton, PA 18505 · (570) 343-2383 · Fax (570) 343-4800

Phone(319) 768-3700

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 11, 2020

Last NPPES UpdateMarch 18, 20242 updates tracked since enumeration

NPPES CertifiedMarch 18, 2024

✔ NPI 1215559455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IA · MD50792

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.

1225 S GEAR AVE, West Burlington, IA 52655

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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. Viren Mawoj Kumar Raheja Mbbs 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 ID1355749425

PECOS Enrollment IDI20230519001513

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 5

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.

821 services295 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.

254 services240 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

177 services93 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.

148 services143 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

103 services101 patients

Hospital Affiliations CMS Care Compare 3

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

Southeast Iowa Regional Medical Center

Acute Care Hospitals · West Burlington, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160057

Location1221 South Gear AvenueWest Burlington, IA 52655 · Des Moines County

Emergency services Birthing friendly

University Of Iowa Hospital & Clinics

Acute Care Hospitals · Iowa City, IA

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number160058

Location200 Hawkins DriveIowa City, IA 52242 · Johnson County

Emergency services Birthing friendly

Henry County Health Center

Critical Access Hospitals · Mount Pleasant, IA

OwnershipGovernment - Local

CMS Certification Number161356

Location407 S White StMount Pleasant, IA 52641 · Henry County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52655 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

$122.23 typical visit price

range $52.96 – $161.40

Typical copayment $30.55 (range $13.24 – $40.35)

Most-billed visit code 99204

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

77.81/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

67.62

Promoting Interoperability

100

Improvement Activities

Cost

58.43

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.

LISA ANN LAKE DNP

Nurse Practitioner (Family)

1225 S GEAR AVE, SUITE 159
WEST BURLINGTON, IA 52655

Des Moines County (319) 768-1570

DR. JENNIFER K BERGE M.D.

Otolaryngology

1225 S GEAR AVE, STE 255
WEST BURLINGTON, IA 52655

Des Moines County (319) 752-2725

RAJ BHUI

Family Medicine

1225 S GEAR AVE, SUITE 159
WEST BURLINGTON, IA 52655

Des Moines County (319) 768-1570

RICHARD E WHITAKER LMFT

Counselor (Mental Health)

1225 S GEAR AVE, STE 252
WEST BURLINGTON, IA 52655

Des Moines County (319) 768-3700

DR. EUGENE R PANKEY D.D.S.

Dentist (Oral and Maxillofacial Surgery)

1225 S GEAR AVE, MERCY PLZ STE 156
W BURLINGTON, IA 52655

Des Moines County (319) 752-2659

ANEESH NEEKHRA MD

Psychiatry & Neurology (Neurology)

1225 S GEAR AVE, SUITE 153, MERCY PLAZA
WEST BURLINGTON, IA 52655

Des Moines County (319) 754-4400

JAMESON ORTHOPEDIC CLINIC PC

Orthopaedic Surgery

1225 S GEAR AVE, SUITE 159
WEST BURLINGTON, IA 52655

Des Moines County (319) 752-4553

MARY CATHERINE BENTLER P.A.

Physician Assistant

1225 S GEAR AVE, SUITE 153
WEST BURLINGTON, IA 52655

Des Moines County (319) 754-4400

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 Viren Raheja's NPI number?

The NPI number for Viren Raheja is 1215559455. It was assigned to this individual provider in the NPPES registry on May 11, 2020.

Where is Viren Raheja located?

Viren Raheja practices at 1225 S Gear Ave, West Burlington, IA 52655. The listed phone number is (319) 768-3700.

What is Viren Raheja's specialty?

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

Is Viren Raheja enrolled in Medicare?

Yes. Viren Raheja 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 Viren Raheja accept?

Health plans from Medica list Viren Raheja 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 Viren Raheja affiliated with any hospitals?

According to CMS data, Viren Raheja is affiliated with Southeast Iowa Regional Medical Center, University Of Iowa Hospital & Clinics and Henry County Health Center.

When was this NPI record last updated?

The NPPES record for Viren Raheja was last updated on March 18, 2024. 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.