VINAY RAJA M.D.
NPI 1386677938
Internal Medicine - Hematology & Oncology in North Kansas City, MO

Q: What is Vinay Raja's NPI number?

The NPI number for Vinay Raja is 1386677938. It was assigned to this individual provider in the NPPES registry on July 8, 2006.

Q: What is Vinay Raja's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Vinay Raja was last updated on May 15, 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.

Active since July 08, 2006PECOS EnrolledAccepts Medicare Assignment

91.89/100

CMS Quality Rating

2750 CLAY EDWARDS DR STE 215, NORTH KANSAS CITY, MO 64116(913) 574-1050(913) 574-1055 Get Directions Write a Review

NPPES record last updated: May 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2020, Jun 23, 2016 (2 updates tracked since 2016).

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About Vinay Raja M.d. NPPES

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

VINAY RAJA M.D. (NPI 1386677938) is an individual hematology & oncology provider in North Kansas City, Missouri, licensed in Missouri (2002017799) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Saint John Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1386677938

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameVINAY RAJACredential: M.D.

Location Address2750 CLAY EDWARDS DR STE 215North Kansas City, MO 64116-3256

Mailing Address11300 Corporate Ave Ste 330Lenexa, KS 66219-1355

Phone(913) 574-1050

Fax(913) 574-1055

Sole ProprietorNo

Medical School CMSOtherGraduated 1993

Enumeration DateJuly 8, 2006

Last NPPES UpdateMay 15, 20202 updates tracked since enumeration

NPPES CertifiedMay 15, 2020

✔ NPI 1386677938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Licenses✔ Licensed in MO · 2002017799✔ Licensed in IN · 01049900A✔ Licensed in KS · 0428985

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

2750 CLAY EDWARDS DR STE 215, North Kansas City, MO 64116

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Other Identifiers 2

Medicaid1386677938MO

Medicaid200404100BKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc., Oscar Insurance Company and more.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

Vinay Raja 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 ID4688574379

PECOS Enrollment IDI20040109000744

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 7

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

349 services108 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.

209 services120 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

75 services39 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

75 services40 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

41 services41 patients

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.

33 services33 patients

Hospital Affiliations CMS Care Compare 5

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

Saint John Hospital

Acute Care Hospitals · Leavenworth, KS

OwnershipVoluntary non-profit - Other

CMS Certification Number170009

Location3500 South 4th StreetLeavenworth, KS 66048 · Leavenworth County

Emergency services

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number170040

Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County

Emergency services Birthing friendly

Providence Medical Center

Acute Care Hospitals · Kansas City, KS

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number170146

Location8929 Parallel ParkwayKansas City, KS 66112 · Wyandotte County

Emergency services Birthing friendly

North Kansas City Hospital

Acute Care Hospitals · North Kansas City, MO

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number260096

Location2800 Clay Edwards DriveNorth Kansas City, MO 64116 · Clay County

Emergency services Birthing friendly

New Liberty Hospital District

Acute Care Hospitals · Liberty, MO

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number260177

Location2525 Glenn Hendren DrLiberty, MO 64069 · Clay County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64116 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

$168.52 typical visit price

range $55.29 – $168.52

Typical copayment $42.13 (range $13.82 – $42.13)

Most-billed visit code 99205

Established Patient

$97.82 typical visit price

range $17.60 – $137.20

Typical copayment $24.45 (range $4.40 – $34.30)

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.

91.89/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

75.17

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Temozolomide, oral, 5 mg J8700

Treatment-Treatment - Miscellaneous · category RX000N

1 supplier12 claims1,317 services$0.36 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Vinay Raja's NPI number?

The NPI number for Vinay Raja is 1386677938. It was assigned to this individual provider in the NPPES registry on July 8, 2006.

Where is Vinay Raja located?

Vinay Raja practices at 2750 Clay Edwards Dr Ste 215, North Kansas City, MO 64116. The listed phone number is (913) 574-1050.

What is Vinay Raja's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Vinay Raja enrolled in Medicare?

Yes. Vinay Raja 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 Vinay Raja accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc., Oscar Insurance Company and UnitedHealthcare list Vinay Raja 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 Vinay Raja affiliated with any hospitals?

According to CMS data, Vinay Raja is affiliated with Saint John Hospital, University Of Kansas Hospital, Providence Medical Center, North Kansas City Hospital and New Liberty Hospital District.

When was this NPI record last updated?

The NPPES record for Vinay Raja was last updated on May 15, 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.