DR. NAVEEN T RAJ D.O
NPI 1326483207
Internal Medicine - Rheumatology in Woodstock, GA

Active since May 06, 2013PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
300 PARKBROOKE PL STE 170, WOODSTOCK, GA 30189(770) 284-3150 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Naveen T Raj D.o NPPES

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

DR. NAVEEN T RAJ D.O (NPI 1326483207) is an individual rheumatology provider in Woodstock, Georgia, licensed in Georgia (85168) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Cherokee, and is a graduate of Nova Southeastern Univ College Of Dental Medicine (2010).

NPPES Registry Identity

NPI1326483207
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. NAVEEN T RAJCredential: D.O
Location Address300 PARKBROOKE PL STE 170Woodstock, GA 30189-7280
Mailing Address300 Parkbrooke Pl Ste 170Woodstock, GA 30189-7280 · (770) 284-3150
Sole ProprietorYes
Medical School CMSNova Southeastern Univ College Of Dental MedicineGraduated 2010
Enumeration DateMay 6, 2013
Last NPPES UpdateApril 12, 2024
NPPES CertifiedApril 12, 2024
NPI 1326483207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in GA · 85168
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License OS12057 (FL)
300 PARKBROOKE PL STE 170, Woodstock, GA 30189

Other Names 1

Other Name (5)Dr. Naveen Raj D.o

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. Naveen T Raj D.o 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 ID5991011702
PECOS Enrollment IDI20200604000575
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 34

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, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
3,420 services33 patients
Measurement of antibody for assessment of autoimmune disorder, any method 86235
This procedure measures the level of specific antibodies in your body to assess if you have an autoimmune disorder. Antibodies are proteins your immune system produces. In autoimmune disorders, these antibodies mistakenly attack your own cells. This test helps identify such conditions.
542 services66 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.
387 services200 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
386 services219 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
331 services200 patients
Measurement c-reactive protein for detection of infection or inflammation 86140
C-reactive protein (CRP) test is a blood test that checks for signs of inflammation or infection in the body. High levels of CRP often suggest that there's inflammation or a bacterial infection. This test helps in monitoring and managing conditions like arthritis and heart disease.
270 services166 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30189 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
300 PARKBROOKE PL STE 170
WOODSTOCK, GA 30189
Clinic/Center (Medical Specialty)
300 PARKBROOKE PL STE 170
WOODSTOCK, GA 30189

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 Naveen Raj's NPI number?

The NPI number for Naveen Raj is 1326483207. It was assigned to this individual provider in the NPPES registry on May 6, 2013. The provider is also known as Dr. Naveen Raj D.O.

Where is Naveen Raj located?

Naveen Raj practices at 300 Parkbrooke Pl Ste 170, Woodstock, GA 30189. The listed phone number is (770) 284-3150.

What is Naveen Raj's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Naveen Raj enrolled in Medicare?

Yes. Naveen 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 Naveen Raj accept?

Health plans from Alliant Health Plans, Inc. list Naveen 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.

Is Naveen Raj affiliated with any hospitals?

According to CMS data, Naveen Raj is affiliated with Northside Hospital Cherokee and Wellstar Kennestone Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Naveen Raj was last updated on April 12, 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.