ANISH RAJENDRA RAJ M.D.
NPI 1255719910
Pediatrics in Raleigh, NC

Q: What is Anish Raj's NPI number?

The NPI number for Anish Raj is 1255719910. It was assigned to this individual provider in the NPPES registry on May 14, 2015.

Q: What is Anish Raj's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Anish Raj was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 14, 2015PECOS Enrolled

3024 NEW BERN AVE, RALEIGH, NC 27610(919) 235-6505 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 21, 2023, Mar 11, 2023 (2 updates tracked since 2023).

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About Anish Rajendra Raj M.d. NPPES

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

ANISH RAJENDRA RAJ M.D. (NPI 1255719910) is an individual pediatrics provider in Raleigh, North Carolina, licensed in North Carolina (2023-01251) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255719910

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameANISH RAJENDRA RAJCredential: M.D.

Location Address3024 NEW BERN AVERaleigh, NC 27610-1247

Mailing AddressPo Box 602195Charlotte, NC 28260-2195 · (919) 350-2266

Phone(919) 235-6505

Sole ProprietorYes

Enumeration DateMay 14, 2015

Last NPPES UpdateJune 21, 20232 updates tracked since enumeration

NPPES CertifiedJune 21, 2023

✔ NPI 1255719910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in NC · 2023-01251✔ Licensed in NC · PENDING

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License PENDING (NC)

Also ListedPediatrics · Child Abuse PediatricsTaxonomy 2080C0008X · License PENDING (NC)

3024 NEW BERN AVE, Raleigh, NC 27610

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anish Rajendra Raj 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.

Medicare Billing Reassignment

Medicare enrollment records show Anish Raj reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wake Specialty Physicians LLC

0.1 mi

Family Medicine

3020 NEW BERN AVE
Raleigh, NC 27610

Reassigned Medicare billing, North Carolina enrollment
213 clinicians in this Medicare group

NPI 1407267347 (919) 350-8284

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27610 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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.

VALERIE J RINEHAMMER PNP

Nurse Practitioner (Pediatrics)

3024 NEW BERN AVE
RALEIGH, NC 27610

Wake County (919) 350-7846

WAKEMED FACULTY PRACTICE PLAN

Pediatrics (Pediatric Critical Care Medicine)

3024 NEW BERN AVE
RALEIGH, NC 27610

Wake County (919) 350-8000

DR. KAREN NEFF CHILTON M.D.

Pediatrics (Pediatric Critical Care Medicine)

3024 NEW BERN AVE, SUITE 307 - PEDIATRICS
RALEIGH, NC 27610

Wake County (919) 350-8493

DR. SAMER TAJ-ELDIN M.D.

Internal Medicine (Critical Care Medicine)

3024 NEW BERN AVE
RALEIGH, NC 27610

Wake County (919) 350-7270

VIRGINIA GRACE CATES PA-C

Physician Assistant

3024 NEW BERN AVE
RALEIGH, NC 27610

Wake County (919) 350-5318

MS. KAYLA ANNE CADDEN PA-C

Physician Assistant (Surgical)

3024 NEW BERN AVE
RALEIGH, NC 27610

Wake County (919) 350-7331

DON M. ARMSTRONG MD

Obstetrics & Gynecology

3024 NEW BERN AVE
RALEIGH, NC 27610

Wake County (919) 350-7084

KATHLEEN A ROWE NP

Nurse Practitioner

3024 NEW BERN AVE, SUITE 304
RALEIGH, NC 27610

Wake County (919) 350-8729

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 Anish Raj's NPI number?

The NPI number for Anish Raj is 1255719910. It was assigned to this individual provider in the NPPES registry on May 14, 2015.

Where is Anish Raj located?

Anish Raj practices at 3024 New Bern Ave, Raleigh, NC 27610. The listed phone number is (919) 235-6505.

What is Anish Raj's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Anish Raj enrolled in Medicare?

Yes. Anish Raj is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Anish Raj's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anish Raj reassigns Medicare benefits to Wake Specialty Physicians LLC (Raleigh, NC). The 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 Anish Raj's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anish Raj accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Anish 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.

When was this NPI record last updated?

The NPPES record for Anish Raj was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.