PRADNYA RAJE MD
NPI 1295999605
Family Medicine in Fairfield, IA

Active since July 15, 2008PECOS EnrolledAccepts Medicare Assignment
2304 LAKE TRL, FAIRFIELD, IA 52556(334) 497-1922 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 18, 2025, Dec 23, 2024, Nov 18, 2024 and 2 more (5 updates tracked since 2017).

About Pradnya Raje Md NPPES

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

PRADNYA RAJE MD (NPI 1295999605) is an individual family medicine provider in Fairfield, Iowa, licensed in Iowa (51950) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Keokuk County Health Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1295999605
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePRADNYA RAJECredential: MD
Location Address2304 LAKE TRLFairfield, IA 52556-9603
Mailing Address2304 Lake TrlFairfield, IA 52556-9603 · (334) 497-1922
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 15, 2008
Last NPPES UpdateSeptember 18, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
NPI 1295999605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in IA · 51950 Licensed in AZ · 44298
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2304 LAKE TRL, Fairfield, IA 52556

Secondary Practice Locations 2

Location 11314 S Stuart St Ste BSigourney, IA 52591-1154 · Phone (416) 221-1170
Location 29700 N 91st St Ste A115Scottsdale, AZ 85258-5036 · Phone (888) 803-3370

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

Pradnya Raje 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 ID8820260532
PECOS Enrollment IDI20250828005218
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.

Hospital Affiliations CMS Care Compare

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

Keokuk County Health Center

Critical Access Hospitals · Sigourney, IA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number161315
Location23019 Highway 149Sigourney, IA 52591 · Keokuk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52556 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

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 Pradnya Raje's NPI number?

The NPI number for Pradnya Raje is 1295999605. It was assigned to this individual provider in the NPPES registry on July 15, 2008.

Where is Pradnya Raje located?

Pradnya Raje practices at 2304 Lake Trl, Fairfield, IA 52556. The listed phone number is (334) 497-1922.

What is Pradnya Raje's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Pradnya Raje enrolled in Medicare?

Yes. Pradnya Raje 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 Pradnya Raje accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Pradnya Raje 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 Pradnya Raje affiliated with any hospitals?

According to CMS data, Pradnya Raje is affiliated with Keokuk County Health Center.

When was this NPI record last updated?

The NPPES record for Pradnya Raje was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.