MIA ANNE RAJAN DO
NPI 1538960448
Student in an Organized Health Care Education/Training Program in Fort Worth, TX

Active since March 24, 2025PECOS Enrolled
6717 CROOKED STICK DR, FORT WORTH, TX 76132(817) 614-2673 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mia Anne Rajan Do NPPES

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

MIA ANNE RAJAN DO (NPI 1538960448) is an individual student in an organized health care education/training program in Fort Worth, Texas and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538960448
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMIA ANNE RAJANCredential: DO
Location Address6717 CROOKED STICK DRFort Worth, TX 76132-4527
Mailing Address6717 Crooked Stick DrFort Worth, TX 76132-4527 · (817) 614-2673
Sole ProprietorNo
Enumeration DateMarch 24, 2025
NPPES CertifiedMarch 24, 2025
NPI 1538960448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
6717 CROOKED STICK DR, Fort Worth, TX 76132

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mia Anne Rajan Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Mia Rajan's NPI number?

The NPI number for Mia Rajan is 1538960448. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Mia Rajan located?

Mia Rajan practices at 6717 Crooked Stick Dr, Fort Worth, TX 76132. The listed phone number is (817) 614-2673.

What is Mia Rajan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mia Rajan enrolled in Medicare?

Yes. Mia Rajan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mia Rajan was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.