DR. NISHANT VICTOR RAJ MD
NPI 1245473156
Surgery in Saint Louis, MO

Active since April 08, 2009PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
11155 DUNN RD, DIV SUR ACCS, STE 108N, SAINT LOUIS, MO 63136(314) 362-5298(888) 824-2176 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Dec 9, 2022 and 2 more (5 updates tracked since 2021).

About Dr. Nishant Victor Raj Md NPPES

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

DR. NISHANT VICTOR RAJ MD (NPI 1245473156) is an individual surgery provider in Saint Louis, Missouri, licensed in Missouri (2014009230) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Alton Memorial Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1245473156
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. NISHANT VICTOR RAJCredential: MD
Location Address11155 DUNN RD, DIV SUR ACCS, STE 108NSaint Louis, MO 63136-6150
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 362-5298 · Fax (888) 824-2176
Fax(888) 824-2176
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 8, 2009
Last NPPES UpdateApril 17, 20255 updates tracked since enumeration
NPPES CertifiedNovember 23, 2021
NPI 1245473156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MO · 2014009230
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 2014009230 (MO)
11155 DUNN RD, Saint Louis, MO 63136

Other Identifiers 1

Medicaid200017562MO

Accepted 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. Nishant Victor Raj 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 ID5193945947
PECOS Enrollment IDI20140930001811
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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
51 services28 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
39 services38 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.
25 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Alton Memorial Hospital

Acute Care Hospitals · Alton, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140002
LocationOne Memorial DriveAlton, IL 62002 · Madison County
Emergency services Birthing friendly

Christian Hospital Northeast

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260180
Location11133 Dunn RoadSaint Louis, MO 63136 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63136 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

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.

Internal Medicine (Critical Care Medicine)
11155 DUNN RD, STE: 315E
SAINT LOUIS, MO 63136
Clinical Nurse Specialist (Medical-Surgical)
11155 DUNN RD
SAINT LOUIS, MO 63136
Registered Nurse
11155 DUNN RD, STE 304E
SAINT LOUIS, MO 63136
Nurse Practitioner (Gerontology)
11155 DUNN RD, DIV SUR ACCS, STE 108N
SAINT LOUIS, MO 63136
Specialist
11155 DUNN RD, SUITE 105N
SAINT LOUIS, MO 63136
Internal Medicine
11155 DUNN RD, 201N
ST LOUIS, MO 63136
Clinic/Center
11155 DUNN RD, SUITE 304E
SAINT LOUIS, MO 63136
Internal Medicine (Interventional Cardiology)
11155 DUNN RD, SUITE 304E
SAINT LOUIS, MO 63136

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 Nishant Raj's NPI number?

The NPI number for Nishant Raj is 1245473156. It was assigned to this individual provider in the NPPES registry on April 8, 2009.

Where is Nishant Raj located?

Nishant Raj practices at 11155 Dunn Rd Div Sur Accs, Ste 108N, Saint Louis, MO 63136. The listed phone number is (314) 362-5298.

What is Nishant Raj's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Nishant Raj enrolled in Medicare?

Yes. Nishant Raj 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 Nishant Raj accept?

Health plans from Cox HealthPlans list Nishant Raj 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 Nishant Raj affiliated with any hospitals?

According to CMS data, Nishant Raj is affiliated with Alton Memorial Hospital and Christian Hospital Northeast.

When was this NPI record last updated?

The NPPES record for Nishant Raj was last updated on April 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.