RAJAN A PASTORIZA MD
NPI 1407844541
Obstetrics & Gynecology in Jackson, MI

NPI Status: Active since October 12, 2005

Contact Information

1100 E MICHIGAN AVE
STE 205
JACKSON, MI
ZIP 49201
Phone: (517) 787-6838
Fax: (577) 787-5623

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  • Individual
  • Male
  • Years of Experience 28
  • Obstetrics & Gynecology
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About RAJAN PASTORIZA

This page provides the complete NPI Profile along with additional information for Rajan Pastoriza, a women's health care provider established in Jackson, Michigan with a medical specialization in Obstetrics & Gynecology and more than 28 years of experience. He graduated from University Of Michigan Medical School in 1998. The healthcare provider is registered in the NPI registry with number 1407844541 assigned on October 2005. The practitioner's primary taxonomy code is 207V00000X with license number 430107184 (MI). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1407844541
Provider Name
RAJAN A PASTORIZA MD
Gender
Male
Entity Type
Individual
Location Address
1100 E MICHIGAN AVE STE 205 JACKSON, MI 49201
Location Phone
(517) 787-6838
Location Fax
(577) 787-5623
Mailing Address
1100 E MICHIGAN AVE STE 205 JACKSON, MI 49201
Mailing Phone
(577) 787-6838
Mailing Fax
(577) 787-5623
Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year
1998
Is Sole Proprietor?
Yes
Enumeration Date
10-12-2005
Last Update Date
04-20-2011
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Women's health care providers like Rajan Pastoriza treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology

Taxonomy Code
207V00000X
Type
Allopathic & Osteopathic Physicians
License No.
430107184
License State
MI
Taxonomy Description
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • MHP Bronze - HMO
  • MHP Bronze Saver (Expanded) - HMO
  • MHP Expanded Bronze Standard - HMO
  • MHP Gold - HMO
  • MHP Gold Standard - HMO
  • MHP Silver Exchange - HMO
  • MHP Silver Exchange Rewards - HMO
  • MHP Silver Standard - HMO
  • MHP Young Adult/Catastrophic - HMO
  • MyPriority Balanced Silver - HMO
  • MyPriority Balanced Silver Corewell Health West Michigan Network - HMO
  • MyPriority Balanced Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Enhanced Gold Corewell Health West Michigan Network - HMO
  • MyPriority Enhanced Gold Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Premier Silver - HMO
  • MyPriority Premier Silver Corewell Health West Michigan Network - HMO
  • MyPriority Premier Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Standard Bronze - HMO
  • MyPriority Standard Bronze - Corewell Health West Michigan Network - HMO
  • MyPriority Standard Bronze - Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Standard Bronze - Travel - HMO
  • MyPriority Standard Gold - HMO
  • MyPriority Standard Gold Corewell Health West Michigan Network - HMO
  • MyPriority Standard Gold Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Standard Silver - HMO
  • MyPriority Standard Silver - Corewell Health West Michigan Network - HMO
  • MyPriority Standard Silver - Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Standard Silver - Travel - HMO
  • MyPriority Value Bronze - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0720038OTHER (01)PHP
H74048MEDICARE UPIN (02) 
1603802652OTHER (01)BCBS
4465589MEDICAID (05)MI 
0N91880001MEDICARE PIN (08) 

Medicare Participation & PECOS Enrollment Status

Rajan Pastoriza is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Rajan Pastoriza is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2466430046

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250625003201

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Cervical or vaginal cancer screening; pelvic and clinical breast examination

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

This service was performed 13 times for 13 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 15 times for 13 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

This service was performed 13 times for 13 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 49201 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $126.15
  • Minimum New Patient Price $54.34
  • Maximum New Patient Price $166.68
  • Average New Patient Copayment $31.53
  • Minimum New Patient Copayment $13.58
  • Maximum New Patient Copayment $41.67

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $68.07
  • Minimum Established Patient Price $17.09
  • Maximum Established Patient Price $135.4
  • Average Established Patient Copayment $17.01
  • Minimum Established Patient Copayment $4.27
  • Maximum Established Patient Copayment $33.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1407844541, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
0
Doubled → 0
Pos 4
7
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
4
Doubled → 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 4 → 8 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 0 + 7 + 1 + 6 + 4 + 8 + 5 + 8 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1407844541.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Orthopaedic Surgery
1100 E MICHIGAN AVE, SUITE 308
JACKSON, MI 49201
Internal Medicine (Hematology & Oncology)
1100 E MICHIGAN AVE, STE 201
JACKSON, MI 49201
Internal Medicine (Gastroenterology)
1100 E MICHIGAN AVE, STE #307
JACKSON, MI 49201
Psychiatry & Neurology (Neurology)
1100 E MICHIGAN AVE, STE 302
JACKSON, MI 49201
Surgery
1100 E MICHIGAN AVE, SUITE 300
JACKSON, MI 49201
Internal Medicine (Infectious Disease)
1100 E MICHIGAN AVE, SUITE 305
JACKSON, MI 49201
Internal Medicine (Infectious Disease)
1100 E MICHIGAN AVE, SUITE 305
JACKSON, MI 49201
Internal Medicine (Hematology)
1100 E MICHIGAN AVE, SUITE 201
JACKSON, MI 49201
Pharmacist
1100 E MICHIGAN AVE
JACKSON, MI 49201
Pharmacist
1100 E MICHIGAN AVE
JACKSON, MI 49201
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1100 E MICHIGAN AVE, SUITE 202
JACKSON, MI 49201
Physician Assistant
1100 E MICHIGAN AVE, STE 201
JACKSON, MI 49201
Internal Medicine (Hematology & Oncology)
1100 E MICHIGAN AVE
JACKSON, MI 49201
Obstetrics & Gynecology
1100 E MICHIGAN AVE, STE 205
JACKSON, MI 49201
Specialist
1100 E MICHIGAN AVE, SUITE 308
JACKSON, MI 49201
Obstetrics & Gynecology (Gynecology)
1100 E MICHIGAN AVE, SUITE 202
JACKSON, MI 49201
Surgery (Trauma Surgery)
1100 E MICHIGAN AVE, STE 201
JACKSON, MI 49201
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1100 E MICHIGAN AVE, SUITE 201
JACKSON, MI 49201
Internal Medicine (Gastroenterology)
1100 E MICHIGAN AVE, SUITE 307
JACKSON, MI 49201
Internal Medicine (Infectious Disease)
1100 E MICHIGAN AVE, SUITE 305
JACKSON, MI 49201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407844541, enumerated as an "individual" on October 12, 2005.

The provider is located at 1100 E MICHIGAN AVE STE 205 JACKSON, MI 49201 and the phone number is (517) 787-6838.

Obstetrics & Gynecology with taxonomy code 207V00000X.

The provider might be accepting Accepts: McLaren Health Plan Community, Priority Health,. Please consult your insurance carrier or call the provider to verify.