MOHAMMED RAJA M.D
NPI 1407262033
Internal Medicine - Infectious Disease in Miami, FL

Q: What is Mohammed Raja's NPI number?

The NPI number for Mohammed Raja is 1407262033. It was assigned to this individual provider in the NPPES registry on July 2, 2014.

Q: What is Mohammed Raja's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for Mohammed Raja was last updated on March 3, 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 02, 2014PECOS EnrolledAccepts Medicare Assignment

99.04/100

CMS Quality Rating

1400 NW 12TH AVE, MIAMI, FL 33136(305) 243-4598(305) 243-4037 Get Directions Write a Review

NPPES record last updated: March 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mohammed Raja M.d NPPES

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

MOHAMMED RAJA M.D (NPI 1407262033) is an individual infectious disease provider in Miami, Florida, licensed in Florida (ME143724) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1407262033

Entity TypeIndividualMale

Primary Taxonomy207RI0200X

Provider Legal NameMOHAMMED RAJACredential: M.D

Location Address1400 NW 12TH AVEMiami, FL 33136-1003

Mailing Address1400 Nw 12th AveMiami, FL 33136-1003 · (305) 243-4598 · Fax (305) 243-4037

Phone(305) 243-4598

Fax(305) 243-4037

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 2, 2014

Last NPPES UpdateMarch 3, 2020

NPPES CertifiedMarch 3, 2020

✔ NPI 1407262033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in FL · ME143724

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1400 NW 12TH AVE, Miami, FL 33136

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL 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

Mohammed 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 ID3779870845

PECOS Enrollment IDI20201005002651

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

87 services37 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.

28 services24 patients

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.

18 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

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.

99.04/100

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

Individually scored

Quality

80.08

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

25%20 patients2/55-star benchmark: 93%

Colorectal Cancer Screening

34%59 patients2/55-star benchmark: 88%

Controlling High Blood Pressure

92%24 patients5/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

80%223 patients3/55-star benchmark: 100%

e-Prescribing

100%22 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

100%39 patients5/55-star benchmark: 100%

HIV Screening

78%54 patients5/55-star benchmark: 60%

Oncology: Medical and Radiation - Pain Intensity Quantified

80%75 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

99%79 patients5/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 100% · 50 patients

100%50 patients

Provide Patients Electronic Access to Their Health Information

100%46 patients5/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 61% · 36 patients

Patients totalRate: 50% · 36 patients

64%36 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

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