DR. SEAN D RAJ M.D.
NPI 1306137252
Radiology - Diagnostic Radiology in Dallas, TX

Active since April 27, 2011PECOS EnrolledAccepts Medicare Assignment
75.81/100
CMS Quality Rating
3500 GASTON AVE, DALLAS, TX 75246(800) 841-4236 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sean D Raj M.d. NPPES

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

DR. SEAN D RAJ M.D. (NPI 1306137252) is an individual diagnostic radiology provider in Dallas, Texas, licensed in Texas (Q0544) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Sugar Land, and is a graduate of New York University School Of Medicine (2011).

NPPES Registry Identity

NPI1306137252
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. SEAN D RAJCredential: M.D.
Location Address3500 GASTON AVEDallas, TX 75246-2017
Mailing Address21 Harbor View DrSugar Land, TX 77479-5853 · (281) 980-0944 · Fax (281) 565-0944
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2011
Enumeration DateApril 27, 2011
Last NPPES UpdateMarch 17, 2018
NPI 1306137252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in TX · Q0544
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3500 GASTON AVE, Dallas, TX 75246

Secondary Practice Location 1

Location 121 Harbor View DrSugar Land, TX 77479-5853 · Phone (281) 980-0944 · Fax (281) 565-0944

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

Dr. Sean D Raj M.d. 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 ID8224307434
PECOS Enrollment IDI20170703000560, I20230221000176, I20230227000744, I20230517000635, I20230518000867, I20230518002548
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 14

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.

Injection, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
1,650 services17 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
1,366 services1,366 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
1,357 services1,357 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
537 services536 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
230 services227 patients
Limited ultrasound scan of 1 breast 76642
A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.
197 services192 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75246 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

75.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70
Improvement Activities40

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.

Pathology (Anatomic Pathology & Clinical Pathology)
3500 GASTON AVE, BAYLOR UNIVERSITY MEDICAL CENTER, DEPT OF PATHOLOGY
DALLAS, TX 75246
Nurse Practitioner (Acute Care)
3500 GASTON AVE
DALLAS, TX 75246
Radiology (Diagnostic Radiology)
3500 GASTON AVE
DALLAS, TX 75246
Registered Nurse
3500 GASTON AVE
DALLAS, TX 75246
Emergency Medicine
3500 GASTON AVE
DALLAS, TX 75246
Anesthesiology
3500 GASTON AVE, DEPARTMENT OF ANESTHESIOLOGY
DALLAS, TX 75246
Pediatrics (Neonatal-Perinatal Medicine)
3500 GASTON AVE
DALLAS, TX 75246
Student in an Organized Health Care Education/Training Program
3500 GASTON AVE
DALLAS, TX 75246

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 Sean Raj's NPI number?

The NPI number for Sean Raj is 1306137252. It was assigned to this individual provider in the NPPES registry on April 27, 2011.

Where is Sean Raj located?

Sean Raj practices at 3500 Gaston Ave, Dallas, TX 75246. The listed phone number is (800) 841-4236.

What is Sean Raj's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Sean Raj enrolled in Medicare?

Yes. Sean Raj 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 Sean Raj accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Sean Raj 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 Sean Raj was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.