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DR. KISHORE RAJA RAJA
NPI 1255822268
Pediatrics - Pediatric Cardiology in Minneapolis, MN

Active since May 24, 2018PECOS Enrolled
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 672-6000 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 2, 2024, May 24, 2018 (2 updates tracked since 2018).

About Dr. Kishore Raja Raja NPPES

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

DR. KISHORE RAJA RAJA (NPI 1255822268) is an individual pediatric cardiology provider in Minneapolis, Minnesota, licensed in Minnesota (68843) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1255822268
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. KISHORE RAJA RAJA
Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450
Mailing Address1700 University Ave W Fl 6Saint Paul, MN 55104-3727
Phone(612) 672-6000
Sole ProprietorNo
Enumeration DateMay 24, 2018
Last NPPES UpdateJuly 2, 20242 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
✔ NPI 1255822268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in MN · 68843
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X · License 68843 (MN)
2450 RIVERSIDE AVE, Minneapolis, MN 55454
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Secondary Practice Location 1

Location 11611 NW 12th AveMiami, FL 33136-1005 · Phone (786) 853-8796

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kishore Raja Raja 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.

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.

MICHELLE IRENE GRAY
Rehabilitation Practitioner
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
DR. KATHLEEN F SADAK MD
Pediatrics
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-6402
DR. ADMATHA MUTHYALA WINFRED MD
Internal Medicine (Geriatric Medicine)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
KELLY SCHELLER WILLIAMS
Dietitian, Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-3216
MRS. MARY SUSAN CLIPP CPNP-AC
Nurse Practitioner (Pediatrics, Critical Care)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 365-3100
DANIEL TESFAYE KEBED MD
Internal Medicine
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
MS. CHELSEA ANJELICA MIELKE PA-C
Physician Assistant
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
MRS. JESSICA LYNN MCADAM
Nurse Anesthetist, Certified Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-8383

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 Kishore Raja Raja's NPI number?

The NPI number for Kishore Raja Raja is 1255822268. It was assigned to this individual provider in the NPPES registry on May 24, 2018.

Where is Kishore Raja Raja located?

Kishore Raja Raja practices at 2450 Riverside Ave, Minneapolis, MN 55454. The listed phone number is (612) 672-6000.

What is Kishore Raja Raja's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Kishore Raja Raja enrolled in Medicare?

Yes. Kishore Raja Raja is registered in the Medicare PECOS enrollment system.

What insurance does Kishore Raja Raja accept?

Health plans from Medica and Sanford Health Plan list Kishore Raja Raja 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 Kishore Raja Raja was last updated on July 2, 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.