HITESH RAHEJA
NPI 1285049171
Internal Medicine - Cardiovascular Disease in Passaic, NJ

Active since June 30, 2014PECOS EnrolledAccepts Medicare Assignment
98.3/100
CMS Quality Rating
293 PASSAIC ST, PASSAIC, NJ 07055(973) 916-0002(973) 916-0027 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 20, 2024, Aug 19, 2022, Nov 22, 2021 and 2 more (5 updates tracked since 2017).

About Hitesh Raheja NPPES

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

HITESH RAHEJA (NPI 1285049171) is an individual cardiovascular disease provider in Passaic, New Jersey, licensed in New Jersey (25MA11505600) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Nazareth Hospital, and maintains a secondary practice location in Langhorne.

NPPES Registry Identity

NPI1285049171
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameHITESH RAHEJA
Location Address293 PASSAIC STPassaic, NJ 07055-5803
Mailing Address293 Passaic StPassaic, NJ 07055-5803 · (973) 916-0002 · Fax (973) 916-0027
Fax(973) 916-0027
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJune 30, 2014
Last NPPES UpdateJune 20, 20245 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
NPI 1285049171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in NJ · 25MA11505600 Licensed in PA · MD472047
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35.131017 (OH), 301042-01 (NY)
293 PASSAIC ST, Passaic, NJ 07055

Secondary Practice Location 1

Location 11203 Langhorne Newtown Rd Ste 320Langhorne, PA 19047-1235 · Phone (215) 750-7818

Other Identifiers 1

Other25MA11505600NJ · State License

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

Hitesh Raheja 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 ID1052683083
PECOS Enrollment IDI20211201002291
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 12

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 moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
64 services44 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
52 services51 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
45 services45 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
43 services28 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
38 services35 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
28 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Nazareth Hospital

Acute Care Hospitals · Philadelphia, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390204
Location2601 Holme AvePhiladelphia, PA 19152 · Philadelphia County
Emergency services

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390258
LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07055 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

98.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

Internal Medicine (Interventional Cardiology)
293 PASSAIC ST
PASSAIC, NJ 07055
Physician Assistant
293 PASSAIC ST
PASSAIC, NJ 07055
Nurse Practitioner (Family)
293 PASSAIC ST
PASSAIC, NJ 07055
Physical Medicine & Rehabilitation
293 PASSAIC ST
PASSAIC, NJ 07055
Internal Medicine (Interventional Cardiology)
293 PASSAIC ST
PASSAIC, NJ 07055
Clinic/Center
293 PASSAIC ST
PASSAIC, NJ 07055
Physician Assistant
293 PASSAIC ST
PASSAIC, NJ 07055
Preferred Provider Organization
293 PASSAIC ST
PASSAIC, NJ 07055

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 Hitesh Raheja's NPI number?

The NPI number for Hitesh Raheja is 1285049171. It was assigned to this individual provider in the NPPES registry on June 30, 2014.

Where is Hitesh Raheja located?

Hitesh Raheja practices at 293 Passaic St, Passaic, NJ 07055. The listed phone number is (973) 916-0002.

What is Hitesh Raheja's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Hitesh Raheja enrolled in Medicare?

Yes. Hitesh Raheja 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.

Is Hitesh Raheja affiliated with any hospitals?

According to CMS data, Hitesh Raheja is affiliated with Nazareth Hospital and St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Hitesh Raheja was last updated on June 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.