RAJESH KADAKIA MD
NPI 1407975501
Emergency Medicine in San Clemente, CA

Active since March 28, 2007PECOS EnrolledAccepts Medicare Assignment
910 S EL CAMINO REAL STE A, SAN CLEMENTE, CA 92672(949) 492-4994 Get Directions Write a Review

NPPES record last updated: August 12, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rajesh Kadakia Md NPPES

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

RAJESH KADAKIA MD (NPI 1407975501) is an individual emergency medicine provider in San Clemente, California, licensed in California (A41855) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1407975501
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameRAJESH KADAKIACredential: MD
Location Address910 S EL CAMINO REAL STE ASan Clemente, CA 92672-4279
Mailing Address910 S El Camino Real Ste ASan Clemente, CA 92672-4279 · (949) 492-4994
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateMarch 28, 2007
Last NPPES UpdateAugust 12, 2016
✔ NPI 1407975501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · A41855
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
910 S EL CAMINO REAL STE A, San Clemente, CA 92672

Other Identifiers 2

Medicare UPINE50885
OtherW41855DCA · Legacy Provider

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rajesh Kadakia 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 ID4082666573
PECOS Enrollment IDI20050222000584
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 Reassignments

11

Medicare enrollment records show Rajesh Kadakia reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medical Services
910 S EL CAMINO REAL
San Clemente, CA 92672
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
Emergency Medicine
465 W PUTNAM AVE
Porterville, CA 93257
  • Reassigned Medicare billing, California enrollment
  • 160 clinicians in this Medicare group
Emergency Medicine
2735 SILVER CREEK RD
Bullhead City, AZ 86442
  • Reassigned Medicare billing, Arizona enrollment
  • 55 clinicians in this Medicare group
Emergency Medicine
350 S OAK AVE
Oakdale, CA 95361
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Sound Physicians Emergency Medicine Of Southern California PC
  • 36 clinicians in this Medicare group
Emergency Medicine
6200 N LA CHOLLA BLVD
Tucson, AZ 85741
  • Reassigned Medicare billing, Arizona enrollment
  • 664 clinicians in this Medicare group
Emergency Medicine
1200 B GALE WILSON BLVD
Fairfield, CA 94533
  • Reassigned Medicare billing, California enrollment
  • 212 clinicians in this Medicare group
Emergency Medicine
5700 E HIGHWAY 90
Sierra Vista, AZ 85635
  • Reassigned Medicare billing, Arizona enrollment
  • 239 clinicians in this Medicare group
Emergency Medicine
4900 N LOVINGTON HWY
Hobbs, NM 88240
  • Reassigned Medicare billing, New Mexico enrollment
  • 119 clinicians in this Medicare group
Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, New Mexico enrollment
  • 251 clinicians in this Medicare group
Emergency Medicine
240 HIGHLAND DR
Many, LA 71449
  • Reassigned Medicare billing, New Mexico enrollment
  • 152 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 10

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
93 services92 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.
65 services49 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.
61 services28 patients
Insertion of needle into vein (3 years or older) 36410
This procedure involves placing a small needle into a vein, typically in the arm. It's done to collect blood for testing or to deliver medication. You may feel a quick pinch, but it's usually over in seconds. It's a common, safe procedure.
42 services37 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
31 services31 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
24 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92672 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%130 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%81 patients5/55-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.

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 Rajesh Kadakia's NPI number?

The NPI number for Rajesh Kadakia is 1407975501. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Rajesh Kadakia located?

Rajesh Kadakia practices at 910 S El Camino Real Ste A, San Clemente, CA 92672. The listed phone number is (949) 492-4994.

What is Rajesh Kadakia's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Rajesh Kadakia enrolled in Medicare?

Yes. Rajesh Kadakia 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.

Which organizations bill Medicare for Rajesh Kadakia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rajesh Kadakia reassigns Medicare benefits to 11 organizations: Rajesh J Kadakia M D A Medical Corporation (San Clemente, CA), Nes Western Group, A Professional Corporation (Porterville, CA), Tempe Emergency Physicians, Ltd (Bullhead City, AZ), Sound Physicians Emergency Medicine Of Southern California, P.C. (Oakdale, CA), Northwest Hbp Medical Services LLC (Tucson, AZ) and 6 more organizations, listed in the Medicare section above. Each 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 Rajesh Kadakia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rajesh Kadakia accept?

Health plans from Blue Cross Blue Shield of Arizona list Rajesh Kadakia 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.

When was this NPI record last updated?

The NPPES record for Rajesh Kadakia was last updated on August 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.