PRADNYA RAJE MD
NPI 1295999605
Family Medicine in Fairfield, IA
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
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Pradnya Raje reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hedrick, IA 52563
- Reassigned Medicare billing, Iowa enrollment
- 45 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Keokuk County Health Center
Critical Access Hospitals · Sigourney, IAMahaska Health Partnership
Critical Access Hospitals · Oskaloosa, IAPhysician 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.
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.
Which organization bills Medicare for Pradnya Raje's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pradnya Raje reassigns Medicare benefits to Keokuk County Health Center (Hedrick, IA). 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 Pradnya Raje's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pradnya Raje accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Wellmark Health Plan of Iowa, Inc. 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 and Mahaska Health Partnership.
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 13 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.
# Pradnya Raje, MD · NPI 1295999605
Family Medicine physician in Fairfield, Iowa. Individual provider, active in the CMS NPPES registry since July 15, 2008.
## Identity
- **NPI:** 1295999605 (Entity type: Individual)
- **Enumerated:** July 15, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 51950 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 2304 LAKE TRL, Fairfield, IA 52556-9603
- **Phone:** (334) 497-1922
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Keokuk County Health Center (NPI 1588492862, Hedrick, IA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** September 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1295999605) · Data from the CMS NPPES public registry.