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

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: August 16, 2026.

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

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
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

Other Names 1

Other Name (5)Madan K Raj

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

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.

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

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.

Physician Assistant (Surgical)
600 NORTHERN BLVD, SUITE 300
GREAT NECK, NY 11021
Specialist
600 NORTHERN BLVD, SUITE 100
GREAT NECK, NY 11021
Orthopaedic Surgery
600 NORTHERN BLVD, STE 300
GREAT NECK, NY 11021
Internal Medicine (Gastroenterology)
600 NORTHERN BLVD, STE 106
GREAT NECK, NY 11021
Acupuncturist
600 NORTHERN BLVD, SUITE 109
GREAT NECK, NY 11021
Student in an Organized Health Care Education/Training Program
600 NORTHERN BLVD
GREAT NECK, NY 11021
Psychiatry & Neurology (Neurology)
600 NORTHERN BLVD, SUITE 118
GREAT NECK, NY 11021
Ophthalmology
600 NORTHERN BLVD, SUITE 216
GREAT NECK, NY 11021

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.

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.