MAMTHA RAJ M.D., M.A.
NPI 1356796700
Plastic Surgery in Chicago, IL

Q: What is Mamtha Raj's NPI number?

The NPI number for Mamtha Raj is 1356796700. It was assigned to this individual provider in the NPPES registry on May 3, 2016.

Q: What is Mamtha Raj's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Mamtha Raj was last updated on September 28, 2023. 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.

Active since May 03, 2016PECOS EnrolledAccepts Medicare Assignment

1725 W HARRISON ST STE 425, CHICAGO, IL 60612(312) 563-3000 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mamtha Raj M.d., M.a. NPPES

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

MAMTHA RAJ M.D., M.A. (NPI 1356796700) is an individual plastic surgery provider in Chicago, Illinois, licensed in Illinois (036166530) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Rush Oak Park Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356796700

Entity TypeIndividualFemale

Primary Taxonomy208200000X

Provider Legal NameMAMTHA RAJCredential: M.D., M.A.

Location Address1725 W HARRISON ST STE 425Chicago, IL 60612-3893

Mailing Address1725 W Harrison St Ste 425Chicago, IL 60612-3893 · (312) 563-3000

Phone(312) 563-3000

Sole ProprietorNo

Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 2016

Enumeration DateMay 3, 2016

Last NPPES UpdateSeptember 28, 2023

NPPES CertifiedSeptember 28, 2023

✔ NPI 1356796700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Licenses✔ Licensed in IL · 036166530✔ Licensed in CT · 66577✔ Licensed in PA · MT210474

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

1725 W HARRISON ST STE 425, Chicago, IL 60612

Open in Google Maps ↗

Secondary Practice Locations 2

Location 11200 S Cedar Crest BlvdAllentown, PA 18103-6202 · Phone (610) 402-2273

Location 220 York StNew Haven, CT 06510-3220 · Phone (203) 688-4242

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Mamtha Raj M.d., M.a. 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 ID8527351436

PECOS Enrollment IDI20231002000251, I20231023001528

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

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Rush Oak Park Hospital

Acute Care Hospitals · Oak Park, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140063

Location520 S Maple AveOak Park, IL 60304 · Cook County

Emergency services

Rush University Medical Center

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140119

Location1653 West Congress ParkwayChicago, IL 60612 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

Other Providers at the Same Location NPPES 10

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

CYNTHIA TONY YUSUF MD

Plastic Surgery