AHMAD RAJA DO
NPI 1427673904
Hospitalist in Wilkes Barre, PA

Q: What is Ahmad Raja's NPI number?

The NPI number for Ahmad Raja is 1427673904. It was assigned to this individual provider in the NPPES registry on June 10, 2020.

Q: What is Ahmad Raja's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Ahmad Raja was last updated on May 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 10, 2020PECOS EnrolledAccepts Medicare Assignment

575 N RIVER ST, WILKES BARRE, PA 18764(570) 829-8111 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 10, 2024, Jun 10, 2020 (2 updates tracked since 2020).

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About Ahmad Raja Do NPPES

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

AHMAD RAJA DO (NPI 1427673904) is an individual hospitalist provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (OS023137) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Wilkes-barre General Hospital, and is a graduate of Edward Via Col Of Osteo Medicine-carolinas Campus (2020).

NPPES Registry Identity

NPI1427673904

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameAHMAD RAJACredential: DO

Location Address575 N RIVER STWilkes Barre, PA 18764-0999

Mailing Address575 N River StWilkes Barre, PA 18764-0999 · (570) 829-8111

Phone(570) 829-8111

Sole ProprietorNo

Medical School CMSEdward Via Col Of Osteo Medicine-carolinas CampusGraduated 2020

Enumeration DateJune 10, 2020

Last NPPES UpdateMay 10, 20242 updates tracked since enumeration

NPPES CertifiedMay 10, 2024

✔ NPI 1427673904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in PA · OS023137

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

575 N RIVER ST, Wilkes Barre, PA 18764

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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

Ahmad Raja Do 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 ID1850745886

PECOS Enrollment IDI20230926000374

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

Medicare enrollment records show Ahmad Raja reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pennsylvania Hospitalist Group, LLC

Same address

Hospitalist

575 N RIVER ST
Wilkes Barre, PA 18764

Reassigned Medicare billing, Pennsylvania enrollment
76 clinicians in this Medicare group

NPI 1558126342 (570) 829-8111

Advanced Inpatient Medicine Associates PC

Same address

Hospitalist

575 N RIVER ST
Wilkes Barre, PA 18764

Reassigned Medicare billing, Pennsylvania enrollment
78 clinicians in this Medicare group

NPI 1396168589 (570) 552-4450

Advanced Inpatient Medicine PC

15 mi

Hospitalist

746 JEFFERSON AVE FL 4
Scranton, PA 18510

Reassigned Medicare billing, Pennsylvania enrollment
98 clinicians in this Medicare group

NPI 1871725366 (570) 241-4715

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 4

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.

158 services153 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

40 services40 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.

17 services17 patients

Critical care, each additional 30 minutes 99292

Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.

17 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA

1/5 CMS rating

OwnershipProprietary

CMS Certification Number390137

Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County

Emergency services

Regional Hospital Of Scranton

Acute Care Hospitals · Scranton, PA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number390237

Location746 Jefferson AvenueScranton, PA 18501 · Lackawanna County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18764 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.

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.

CHERYL CAREY NP

Nurse Practitioner