AJIBOLA RAJI
NPI 1457130080
Physician Assistant in Upper Marlboro, MD

Q: What is Ajibola Raji's NPI number?

The NPI number for Ajibola Raji is 1457130080. It was assigned to this individual provider in the NPPES registry on September 25, 2023.

Q: What is Ajibola Raji's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Ajibola Raji was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since September 25, 2023PECOS Enrolled

9500 MEDICAL CENTER DR STE 105, UPPER MARLBORO, MD 20774(301) 615-4133 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 21, 2026, Jan 12, 2026 (2 updates tracked since 2026).

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About Ajibola Raji NPPES

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

AJIBOLA RAJI (NPI 1457130080) is an individual physician assistant in Upper Marlboro, Maryland, licensed in Maryland (C0009579) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1457130080

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameAJIBOLA RAJI

Location Address9500 MEDICAL CENTER DR STE 105Upper Marlboro, MD 20774-3703

Mailing Address9609 Hope Springs LnUpper Marlboro, MD 20774-9323

Phone(301) 615-4133

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 25, 2023

Last NPPES UpdateJanuary 21, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 21, 2026

✔ NPI 1457130080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MD · C0009579

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

9500 MEDICAL CENTER DR STE 105, Upper Marlboro, MD 20774

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ajibola Raji is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800371352

PECOS Enrollment IDI20260401003382

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20774 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL NEWMAN MD

Family Medicine (Hospice and Palliative Medicine)