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RAJNISH BIRLA MD
NPI 1477627065
Family Medicine in Orange, CA

Active since November 17, 2006PECOS EnrolledAccepts Medicare Assignment
2540 N SANTIAGO BLVD, ORANGE, CA 92867(714) 921-1030(714) 921-1032 Get Directions Write a Review

NPPES record last updated: November 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2025, Aug 11, 2025, Sep 29, 2020 and 2 more (5 updates tracked since 2018).

About Rajnish Birla Md NPPES

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

RAJNISH BIRLA MD (NPI 1477627065) is an individual family medicine provider in Orange, California, licensed in California (A92911) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Placentia, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1477627065
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRAJNISH BIRLACredential: MD
Location Address2540 N SANTIAGO BLVDOrange, CA 92867-1862
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380
Phone(714) 921-1030
Fax(714) 921-1032
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateNovember 17, 2006
Last NPPES UpdateNovember 15, 20255 updates tracked since enumeration
NPPES CertifiedNovember 15, 2025
✔ NPI 1477627065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A92911
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2540 N SANTIAGO BLVD, Orange, CA 92867
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Secondary Practice Location 1

Location 11041 E Yorba Linda Blvd Ste 306Placentia, CA 92870-3751 · Phone (714) 577-9500 · Fax (714) 577-9504

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rajnish Birla 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 ID2466453238
PECOS Enrollment IDI20070122000304
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
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.
114 services83 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.
75 services57 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92867 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

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%353 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%101 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
46%243 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%243 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
40%243 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
49%243 patients
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 3

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

ROLF D. KNAPP D.O
Family Medicine
2540 N SANTIAGO BLVD
ORANGE, CA 92867
Orange County (714) 921-1030
LAURA MARIE MACKENZIE-TANGREDI D.O.
Family Medicine
2540 N SANTIAGO BLVD
ORANGE, CA 92867
Orange County (714) 921-1030
FAMILY PRACTICE PHYSICIANS, A MEDICAL CORP
Family Medicine
2540 N SANTIAGO BLVD
ORANGE, CA 92867
Orange County (714) 921-1030

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 Rajnish Birla's NPI number?

The NPI number for Rajnish Birla is 1477627065. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Rajnish Birla located?

Rajnish Birla practices at 2540 N Santiago Blvd, Orange, CA 92867. The listed phone number is (714) 921-1030.

What is Rajnish Birla's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rajnish Birla enrolled in Medicare?

Yes. Rajnish Birla 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.

When was this NPI record last updated?

The NPPES record for Rajnish Birla was last updated on November 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.