DR. MADANKUMAR RAJ M.D.
NPI 1528029162
Pain Medicine - Pain Medicine in Great Neck, NY

Q: What is Madankumar Raj's NPI number?

The NPI number for Madankumar Raj is 1528029162. It was assigned to this individual provider in the NPPES registry on March 31, 2006. The provider is also known as Madan K Raj.

Q: What is Madankumar Raj's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Q: When was this NPI record last updated?

The NPPES record for Madankumar Raj was last updated on April 4, 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.

Active since March 31, 2006PECOS EnrolledAccepts Medicare Assignment

600 NORTHERN BLVD, SUITE 113, GREAT NECK, NY 11021(516) 441-5739(516) 441-5743 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 4, 2023, May 6, 2022 (2 updates tracked since 2022).

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About Dr. Madankumar Raj M.d. NPPES

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

DR. MADANKUMAR RAJ M.D. (NPI 1528029162) is an individual pain medicine provider in Great Neck, New York, licensed in New York (231493) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1528029162

Entity TypeIndividualMale

Primary Taxonomy208VP0000X

Provider Legal NameDR. MADANKUMAR RAJCredential: M.D.

Location Address600 NORTHERN BLVD, SUITE 113Great Neck, NY 11021

Mailing Address11 Holiday Pond RdJericho, NY 11753-1154 · (516) 478-0010 · Fax (516) 482-0143

Phone(516) 441-5739

Fax(516) 441-5743

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateMarch 31, 2006

Last NPPES UpdateApril 4, 20232 updates tracked since enumeration

NPPES CertifiedApril 4, 2023

✔ NPI 1528029162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0000X

License✔ Licensed in NY · 231493

Definition

Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X · License 231493 (NY)

Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License 231493 (NY)

600 NORTHERN BLVD, Great Neck, NY 11021

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Other Names 1

Other Name (5)Madan K Raj

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

Dr. Madankumar Raj M.d. 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 ID9739118910

PECOS Enrollment IDI20050808000950

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 Madankumar Raj reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York Ispine Specialist Medical P.C.

Same address

Pain Medicine

600 NORTHERN BLVD
Great Neck, NY 11021

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: New York Ispine Specialist Medical PC

NPI 1144604539 (516) 441-5739

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 16

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, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

1,148 services83 patients

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.

521 services117 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

140 services12 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

107 services66 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.

100 services71 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

99 services30 patients

Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose J7321

Hyaluronan or derivatives like Hyalgan, Supartz, or Visco-3, are used in intra-articular injections for joint pain relief. They help by improving joint lubrication, reducing inflammation, and promoting tissue healing. Each dose is administered directly into the joint space.

62 services11 patients

Injection of trigger points, 3 or more muscles 20553

Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.

40 services20 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

37 services37 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

35 services23 patients

Needle measurement of electrical activity in arm or leg muscles, complete study 95886

This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.

30 services15 patients

Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096

This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.

21 services16 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

20 services16 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint 64636

This procedure involves using imaging technology to locate and treat nerves in your lower spine or sacral area that may be causing pain. Each additional facet joint refers to treating more than one spinal nerve. It's a non-invasive way to manage chronic back pain.

20 services16 patients

Nerve conduction, 9-10 studies 95911

Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.

15 services15 patients

Injection of substance into middle or upper spine canal using imaging guidance 62321

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11021 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

MICHELLE STEWART PA-C

Physician Assistant (Surgical)

600 NORTHERN BLVD, SUITE 300
GREAT NECK, NY 11021

Nassau County (516) 627-8717

THE OTOLARYNGOLOGY AND FACIAL PLASTICS CENTER

Specialist

600 NORTHERN BLVD, SUITE 100
GREAT NECK, NY 11021

Nassau County (516) 428-3223

RICHARD J DAGOSTINO MD

Orthopaedic Surgery

600 NORTHERN BLVD, STE 300
GREAT NECK, NY 11021

Nassau County (516) 627-8717

DR. JOHN MICHAEL COSTABLE JR. MD

Internal Medicine (Gastroenterology)

600 NORTHERN BLVD, STE 106
GREAT NECK, NY 11021

Nassau County (516) 466-6075

SOPHIA CHUNYUN WANG L.AC

Acupuncturist

600 NORTHERN BLVD, SUITE 109
GREAT NECK, NY 11021

Nassau County (516) 543-3518

DR. MADISON EVE WEISS MD

Student in an Organized Health Care Education/Training Program

600 NORTHERN BLVD
GREAT NECK, NY 11021

Nassau County (516) 465-8460

DR. LAURENCE D. HABER M.D.

Psychiatry & Neurology (Neurology)

600 NORTHERN BLVD, SUITE 118
GREAT NECK, NY 11021

Nassau County (516) 498-1122

VINCENT A DERAMO MD

Ophthalmology

600 NORTHERN BLVD, SUITE 216
GREAT NECK, NY 11021

Nassau County (516) 466-0390

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 Madankumar Raj's NPI number?

The NPI number for Madankumar Raj is 1528029162. It was assigned to this individual provider in the NPPES registry on March 31, 2006. The provider is also known as Madan K Raj.

Where is Madankumar Raj located?

Madankumar Raj practices at 600 Northern Blvd Suite 113, Great Neck, NY 11021. The listed phone number is (516) 441-5739.

What is Madankumar Raj's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is Madankumar Raj enrolled in Medicare?

Yes. Madankumar Raj 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 organization bills Medicare for Madankumar Raj's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madankumar Raj reassigns Medicare benefits to New York Ispine Specialist Medical P.C. (Great Neck, NY). 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 Madankumar Raj'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 Madankumar Raj was last updated on April 4, 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.