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DR. RAJA MOTI GIDWANI MD
NPI 1235165051
Pathology - Anatomic Pathology & Clinical Pathology in Miramar, FL

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment
82.63/100
CMS Quality Rating
3920 SW 186TH WAY, MIRAMAR, FL 33029(321) 695-9472 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Raja Moti Gidwani Md NPPES

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

DR. RAJA MOTI GIDWANI MD (NPI 1235165051) is an individual anatomic pathology & clinical pathology provider in Miramar, Florida, licensed in Florida (109293) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (1997).

NPPES Registry Identity

NPI1235165051
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. RAJA MOTI GIDWANICredential: MD
Location Address3920 SW 186TH WAYMiramar, FL 33029-2720
Mailing Address3920 Sw 186th WayMiramar, FL 33029-2720 · (321) 695-9472
Phone(321) 695-9472
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1997
Enumeration DateJune 23, 2006
Last NPPES UpdateMay 6, 2021
NPPES CertifiedMay 6, 2021
✔ NPI 1235165051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in FL · 109293
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3920 SW 186TH WAY, Miramar, FL 33029
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Oscar Health Maintenance Organization of Florida.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. Raja Moti Gidwani Md 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 ID6608047014
PECOS Enrollment IDI20110915000268
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

5

Medicare enrollment records show Raja Gidwani reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gastro Health, LLC
6.6 mi
Gastroenterology
12251 TAFT ST STE 401
Pembroke Pines, FL 33026
  • Reassigned Medicare billing, Florida enrollment
  • 325 clinicians in this Medicare group
NPI 1457026932 (954) 433-5900
New Life Wellness Center LLC
6.7 mi
General Practice
6187 NW 167TH ST STE H34
Hialeah, FL 33015
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1932924818 (786) 815-0685
Prime Care Medical Center LLC
7.4 mi
Family Medicine
5612 NW 167TH ST
Miami Lakes, FL 33014
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1366298986 (786) 238-7261
Vda Community Center Corp
17 mi
Mental Health (Including Community Mental Health Center)
14247 SW 42ND ST UNIT 15
Miami, FL 33175
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1669065892 (786) 817-2976
Miracle Medical Center Corp
19 mi
Psychiatry
15668 SW 72ND ST
Miami, FL 33193
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1144966680 (786) 697-1150

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 6

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
6,631 services2,123 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
176 services104 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
173 services123 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
109 services25 patients
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271
This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.
92 services22 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33029 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

82.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.96
Promoting Interoperability100
Improvement Activities40
Cost67.14

Other Providers at the Same Location NPPES

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

DR GIDWANI M D LLC
Pathology (Anatomic Pathology & Clinical Pathology)
3920 SW 186TH WAY
MIRAMAR, FL 33029
Broward County (844) 443-9264

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 Raja Gidwani's NPI number?

The NPI number for Raja Gidwani is 1235165051. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Raja Gidwani located?

Raja Gidwani practices at 3920 SW 186th Way, Miramar, FL 33029. The listed phone number is (321) 695-9472.

What is Raja Gidwani's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Raja Gidwani enrolled in Medicare?

Yes. Raja Gidwani 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 Raja Gidwani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raja Gidwani reassigns Medicare benefits to 5 organizations: Gastro Health, LLC (Pembroke Pines, FL), New Life Wellness Center LLC (Hialeah, FL), Prime Care Medical Center LLC (Miami Lakes, FL), Vda Community Center Corp (Miami, FL) and Miracle Medical Center Corp (Miami, FL). 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 Raja Gidwani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raja Gidwani accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare and Oscar Health Maintenance Organization of Florida list Raja Gidwani 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.

When was this NPI record last updated?

The NPPES record for Raja Gidwani was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.