DR. KISHORE RAJA RAJA
NPI 1255822268
Pediatrics - Pediatric Cardiology in Minneapolis, MN
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
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kishore Raja Raja is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
6Medicare enrollment records show Kishore Raja Raja reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: University Of Minnesota Physicians
- 1,453 clinicians in this Medicare group
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 1,662 clinicians in this Medicare group
Minneapolis, MN 55404
- Reassigned Medicare billing, Minnesota enrollment
- 1,247 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
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.
Which organizations bill Medicare for Kishore Raja Raja's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kishore Raja Raja reassigns Medicare benefits to 6 organizations: Fairview Express Care (Minneapolis, MN), Fairview Specialty Services (Minneapolis, MN), University Of Minnesota Pediatric Dental Clinic (Minneapolis, MN), University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN), Hennepin Healthcare System, Inc (Minneapolis, MN) and 1 more organization, listed in the Medicare section above. 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 Kishore Raja Raja's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kishore Raja Raja accept?
Health plans from HealthPartners 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.
# Dr. Kishore Raja Raja · NPI 1255822268
Pediatric Cardiology physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since May 24, 2018.
## Identity
- **NPI:** 1255822268 (Entity type: Individual)
- **Enumerated:** May 24, 2018
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** 68843 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2450 RIVERSIDE AVE, Minneapolis, MN 55454-1450
- **Phone:** (612) 672-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Fairview Express Care (NPI 1841428745, Minneapolis, MN); Fairview Specialty Services (NPI 1043199334, Minneapolis, MN); University Of Minnesota Pediatric Dental Clinic (NPI 1992075287, Minneapolis, MN); University Of Minnesota Health Clinics And Surgery Center Inc (NPI 1003485004, Minneapolis, MN); Hennepin Healthcare System, Inc (NPI 1962914333, Minneapolis, MN); and 1 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 2, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1255822268) · Data from the CMS NPPES public registry.