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ADITYA RAJAN MD
NPI 1376165217
Student in an Organized Health Care Education/Training Program in Tyler, TX

Active since May 14, 2020PECOS Enrolled
11937 US HIGHWAY 271, TYLER, TX 75708(903) 877-7253 Get Directions Write a Review

NPPES record last updated: May 14, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Aditya Rajan Md NPPES

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

ADITYA RAJAN MD (NPI 1376165217) is an individual student in an organized health care education/training program in Tyler, Texas, licensed in Texas (BP10071525) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (2020).

NPPES Registry Identity

NPI1376165217
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameADITYA RAJANCredential: MD
Location Address11937 US HIGHWAY 271Tyler, TX 75708-3154
Mailing Address11937 Us Highway 271Tyler, TX 75708-3154 · (903) 877-7253
Phone(903) 877-7253
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2020
Enumeration DateMay 14, 2020
NPPES CertifiedMay 14, 2020
✔ NPI 1376165217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in TX · BP10071525
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11937 US HIGHWAY 271, Tyler, TX 75708
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aditya Rajan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133540834
PECOS Enrollment IDI20251014003624
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.

Medicare Billing Reassignment

Medicare enrollment records show Aditya Rajan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
1,274 mi
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1225060742 (619) 528-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER
Psychiatric Unit
11937 US HIGHWAY 271
TYLER, TX 75708
Smith County (903) 877-7200
TYLER DAVIS DO
Surgery (Trauma Surgery)
11937 US HIGHWAY 271
TYLER, TX 75708
Smith County (903) 877-7777
PATRICIA DIANNE SHACKELFORD
Pharmacist
11937 US HIGHWAY 271
TYLER, TX 75708
Smith County (903) 877-7088
JENNIFER ANNISA MATHEW DO
Student in an Organized Health Care Education/Training Program
11937 US HIGHWAY 271
TYLER, TX 75708
Smith County (903) 877-7200
JASMINE MARIE GAMBOA MD
Student in an Organized Health Care Education/Training Program
11937 US HIGHWAY 271
TYLER, TX 75708
Smith County (903) 877-7200
DR. SADIE ROSE WALTER DO
Student in an Organized Health Care Education/Training Program
11937 US HIGHWAY 271
TYLER, TX 75708
Smith County (903) 877-7200
RENDALL NORTHCUTT FNP
Nurse Practitioner (Primary Care)
11937 US HIGHWAY 271
TYLER, TX 75708
Smith County (903) 877-7200
ES-HAQ SADDELDIN HASSANIN DO
Hospitalist
11937 US HIGHWAY 271
TYLER, TX 75708
Smith County (903) 877-7253

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 Aditya Rajan's NPI number?

The NPI number for Aditya Rajan is 1376165217. It was assigned to this individual provider in the NPPES registry on May 14, 2020.

Where is Aditya Rajan located?

Aditya Rajan practices at 11937 Us Highway 271, Tyler, TX 75708. The listed phone number is (903) 877-7253.

What is Aditya Rajan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Aditya Rajan enrolled in Medicare?

Yes. Aditya Rajan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Aditya Rajan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Aditya Rajan reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). 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 Aditya Rajan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Aditya Rajan was last updated on May 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.