DR. RAJBIR GULATI MD.
NPI 1598095226
Internal Medicine - Rheumatology in Surprise, AZ

Active since December 31, 2009PECOS EnrolledAccepts Medicare Assignment
78.53/100
CMS Quality Rating
12665 W SMOKEY DR # 140, SURPRISE, AZ 85378(623) 219-4040(623) 219-4050 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 13, 2023, May 18, 2016 (2 updates tracked since 2016).

About Dr. Rajbir Gulati Md. NPPES

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

DR. RAJBIR GULATI MD. (NPI 1598095226) is an individual rheumatology provider in Surprise, Arizona, licensed in Arizona (48972) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1598095226
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. RAJBIR GULATICredential: MD.
Location Address12665 W SMOKEY DR # 140Surprise, AZ 85378-3703
Mailing Address12665 W Smokey Dr # 140Surprise, AZ 85378-3703 · (623) 219-4040 · Fax (623) 219-4050
Fax(623) 219-4050
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateDecember 31, 2009
Last NPPES UpdateFebruary 13, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2023
NPI 1598095226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in AZ · 48972
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125053118 (IL)
12665 W SMOKEY DR # 140, Surprise, AZ 85378

Accepted Insurance

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. Rajbir Gulati 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 ID5890919757
PECOS Enrollment IDI20140616000638
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 21

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, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717
Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.
124,600 services34 patients
Injection, romosozumab-aqqg, 1 mg J3111
Romosozumab-aqqg is a medication given by injection to treat osteoporosis in patients at high risk for fractures. It works by increasing bone mass and strength, reducing the risk of fractures.
16,590 services14 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
11,280 services121 patients
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 96401
This procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.
1,006 services163 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.
743 services393 patients
Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426
Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.
262 services50 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85378 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

78.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.98
Improvement Activities40
Cost73.79

Reported Quality Measures

e-Prescribing
98%2,227 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
95%1,158 patients4/55-star benchmark: 100%
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

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

Internal Medicine (Rheumatology)
12665 W SMOKEY DR # 140, #140
SURPRISE, AZ 85378

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 Rajbir Gulati's NPI number?

The NPI number for Rajbir Gulati is 1598095226. It was assigned to this individual provider in the NPPES registry on December 31, 2009.

Where is Rajbir Gulati located?

Rajbir Gulati practices at 12665 W Smokey Dr # 140, Surprise, AZ 85378. The listed phone number is (623) 219-4040.

What is Rajbir Gulati's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Rajbir Gulati enrolled in Medicare?

Yes. Rajbir Gulati 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.

What insurance does Rajbir Gulati accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Rajbir Gulati as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rajbir Gulati was last updated on February 13, 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.