AVAIS RAJA MD
NPI 1407479140
Internal Medicine in Erie, PA

Active since May 28, 2020PECOS EnrolledAccepts Medicare Assignment
78.21/100
CMS Quality Rating

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 1, 2025, Jun 19, 2023, Jun 5, 2023 and 1 more (4 updates tracked since 2020).

About Avais Raja Md NPPES

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

AVAIS RAJA MD (NPI 1407479140) is an individual internal medicine provider in Erie, Pennsylvania, licensed in Pennsylvania (MD481115) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Saint Vincent Hospital, and maintains a secondary practice location in Dearborn.

NPPES Registry Identity

NPI1407479140
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameAVAIS RAJACredential: MD
Location Address232 W 25TH STErie, PA 16544-4089
Mailing Address18101 Oakwood BlvdDearborn, MI 48124-4089 · (917) 244-0661
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMay 28, 2020
Last NPPES UpdateJuly 1, 20254 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
NPI 1407479140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MD481115
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
232 W 25TH ST, Erie, PA 16544

Secondary Practice Location 1

Location 118101 Oakwood BlvdDearborn, MI 48124-4089 · Phone (917) 244-0661

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

Avais Raja Md 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 ID4385066794
PECOS Enrollment IDI20230718001831
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 2

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.

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.
231 services222 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Vincent Hospital

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390009
Location232 West 25th StreetErie, PA 16544 · Erie County
Emergency services Birthing friendly

Warren General Hospital

Acute Care Hospitals · Warren, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390146
LocationTwo Crescent Park WestWarren, PA 16365 · Warren County
Emergency services Birthing friendly

Lecom Health Corry Memorial Hospital

Critical Access Hospitals · Corry, PA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number391308
Location965 Shamrock LaneCorry, PA 16407 · Erie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16544 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

78.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.17
Improvement Activities40
Cost56.29

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.

Anesthesiology
232 W 25TH ST
ERIE, PA 16544
Surgery
232 W 25TH ST
ERIE, PA 16544
Obstetrics & Gynecology
232 W 25TH ST
ERIE, PA 16544
Nurse Anesthetist, Certified Registered
232 W 25TH ST
ERIE, PA 16544
Pathology (Clinical Pathology/Laboratory Medicine)
232 W 25TH ST
ERIE, PA 16544
Nurse Anesthetist, Certified Registered
232 W 25TH ST, 7TH FLOOR
ERIE, PA 16544
Emergency Medicine
232 W 25TH ST
ERIE, PA 16544
Pharmacist
232 W 25TH ST
ERIE, PA 16544

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 Avais Raja's NPI number?

The NPI number for Avais Raja is 1407479140. It was assigned to this individual provider in the NPPES registry on May 28, 2020.

Where is Avais Raja located?

Avais Raja practices at 232 W 25th St, Erie, PA 16544. The listed phone number is (814) 452-5000.

What is Avais Raja's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Avais Raja enrolled in Medicare?

Yes. Avais 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.

Is Avais Raja affiliated with any hospitals?

According to CMS data, Avais Raja is affiliated with Saint Vincent Hospital, Warren General Hospital and Lecom Health Corry Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Avais Raja was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.