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SHARATH C RAJA M.D.
NPI 1417953829
Ophthalmology - Retina Specialist in Milwaukee, WI

Active since June 22, 2005PECOS Enrolled
100/100
CMS Quality Rating
2600 N MAYFAIR RD, STE 901, MILWAUKEE, WI 53226(414) 774-3484(414) 778-3445 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2023, Jun 23, 2021, May 14, 2021 and 3 more (6 updates tracked since 2019).

About Sharath C Raja M.d. NPPES

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

SHARATH C RAJA M.D. (NPI 1417953829) is an individual retina specialist in Milwaukee, Wisconsin, licensed in Wisconsin (43132) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1417953829
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameSHARATH C RAJACredential: M.D.
Location Address2600 N MAYFAIR RD, STE 901Milwaukee, WI 53226-1307
Mailing Address2600 N Mayfair Rd Ste 901Milwaukee, WI 53226-1307 · (414) 774-3484 · Fax (414) 778-3445
Phone(414) 774-3484
Fax(414) 778-3445
Sole ProprietorNo
Enumeration DateJune 22, 2005
Last NPPES UpdateMarch 7, 20236 updates tracked since enumeration
NPPES CertifiedJune 23, 2021
✔ NPI 1417953829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License✔ Licensed in WI · 43132
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License 43132 (WI)
2600 N MAYFAIR RD, Milwaukee, WI 53226
Open in Google Maps ↗

Secondary Practice Locations 4

Location 12801 W Kinnickinnic River Pkwy Ste 350Milwaukee, WI 53215-3695 · Phone (414) 649-4660
Location 26815 118th AveKenosha, WI 53142-8420 · Phone (262) 857-5650
Location 313133 N Port Washington Rd Ste 120Mequon, WI 53097-2420 · Phone (262) 240-0457
Location 41111 Delafield St Ste 227Waukesha, WI 53188-3400 · Phone (262) 524-9323

Other Identifiers 4

Other10664286Caqh
Medicaid34098400WI
Other43132WI · Wi State License
Other000000172683American Academy Of Ophthalmology

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sharath C Raja M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Sharath Raja reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Retina & Vitreous Consultants Of Wi, Ltd.
Same address
Retina Specialist
2600 N MAYFAIR RD, SUITE 901
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 5 clinicians in this Medicare group
NPI 1114044435 (414) 774-3484

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 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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
5,100 services36 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
422 services352 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
360 services123 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
316 services250 patients
Injection, bevacizumab, 10 mg J9035
Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.
127 services89 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.
97 services97 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%77 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
89%510 patients4/55-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.

BERNADETTE DEMURI M.D.
Psychiatry & Neurology (Psychiatry)
2600 N MAYFAIR RD, SUITE #305
WAUWATOSA, WI 53226
Milwaukee County (414) 257-0233
JAY A. MET MD
Ophthalmology
2600 N MAYFAIR RD, #350
MILWAUKEE, WI 53226
Milwaukee County (414) 777-0110
DR. JEFFREY WARD KALENAK MD
Ophthalmology (Glaucoma Specialist)
2600 N MAYFAIR RD
MILWAUKEE, WI 53226
Milwaukee County (414) 266-4499
ASSOCIATED MENTAL HEALTH CONSULTANTS INC
Psychiatry & Neurology (Psychiatry)
2600 N MAYFAIR RD, SUITE #305
WAUWATOSA, WI 53226
Milwaukee County (414) 257-0233
FOREFRONT DERMATOLOGY, S.C.
Dermatology
2600 N MAYFAIR RD, MAYFAIR NORTH TOWER, SUITE 810
MILWAUKEE, WI 53226
Milwaukee County (414) 771-1122
DR. FREDERICK H REESER M.D.
Ophthalmology
2600 N MAYFAIR RD, STE 901
MILWAUKEE, WI 53226
Milwaukee County (414) 774-3484
MIRIAM SCHECHTER M.D.
Psychiatry & Neurology (Psychiatry)
2600 N MAYFAIR RD, SUITE 305
MILWAUKEE, WI 53226
Milwaukee County (414) 257-0233
DR. RICHARD V. KNOFF D.D.S.
Dentist (Endodontics)
2600 N MAYFAIR RD, SUITE 505
WAUWATOSA, WI 53226
Milwaukee County (414) 258-1500

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 Sharath Raja's NPI number?

The NPI number for Sharath Raja is 1417953829. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Sharath Raja located?

Sharath Raja practices at 2600 N Mayfair Rd Ste 901, Milwaukee, WI 53226. The listed phone number is (414) 774-3484.

What is Sharath Raja's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Sharath Raja enrolled in Medicare?

Yes. Sharath Raja is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sharath Raja's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sharath Raja reassigns Medicare benefits to Retina & Vitreous Consultants Of Wi, Ltd. (Milwaukee, WI). The 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 Sharath Raja's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sharath Raja was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.