DR. TALAT HAYAT RAJA M.D.
NPI 1649408220
Internal Medicine in Berlin, VT

Active since June 23, 2009PECOS EnrolledAccepts Medicare Assignment
83.63/100
CMS Quality Rating
130 FISHER RD UNIT 1, BERLIN, VT 05602(802) 371-4264(802) 371-4481 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 10, 2025, Nov 7, 2016 (2 updates tracked since 2016).

About Dr. Talat Hayat Raja M.d. NPPES

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

DR. TALAT HAYAT RAJA M.D. (NPI 1649408220) is an individual internal medicine provider in Berlin, Vermont, licensed in Vermont (042.0017644-COMP) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Univ. Of Vermont - Fletcher Allen Health Care, and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1649408220
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. TALAT HAYAT RAJACredential: M.D.
Location Address130 FISHER RD UNIT 1Berlin, VT 05602-8132
Mailing Address111 Colchester AveBurlington, VT 05401-1473
Fax(802) 371-4481
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 23, 2009
Last NPPES UpdateDecember 10, 20252 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
✔ NPI 1649408220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in VT · 042.0017644-COMP✔ Licensed in SC · 35042✔ Licensed in GA · 003720
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 35042 (SC), 042.0017644-COMP (VT)
130 FISHER RD UNIT 1, Berlin, VT 05602

Secondary Practice Location 1

Location 1171 Ashley AveCharleston, SC 29425-8908 · Phone (843) 792-1414

Accepted Insurance

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. Talat Hayat Raja 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 ID1052568359
PECOS Enrollment IDI20251223000218
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 Reassignments

6

Medicare enrollment records show Talat Raja reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
130 FISHER RD
Berlin, VT 05602
  • Reassigned Medicare billing, Vermont enrollment
  • 562 clinicians in this Medicare group
Family Medicine
4 ALUMNI DR
Exeter, NH 03833
  • Reassigned Medicare billing, New Hampshire enrollment
  • 395 clinicians in this Medicare group
Multi-Specialty
2100 STANTONSBURG RD
Greenville, NC 27834
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,653 clinicians in this Medicare group
Multi-Specialty
1200 JOHNNIE DODDS BLVD
Mt Pleasant, SC 29464
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: University Medical Associates Of The Medical University Of South Carol
  • 2,594 clinicians in this Medicare group
Hospitalist
12303 DE PAUL DR
Bridgeton, MO 63044
  • Reassigned Medicare billing, Illinois enrollment
  • 419 clinicians in this Medicare group
Internal Medicine
2531 VIKING DR
Bossier City, LA 71111
  • Reassigned Medicare billing, Louisiana enrollment
  • 104 clinicians in this Medicare group

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
86 services41 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
83 services34 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
57 services56 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
44 services44 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05602 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 $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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.

83.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.06
Promoting Interoperability82
Improvement Activities40

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.

Registered Nurse
130 FISHER RD UNIT 1
BERLIN, VT 05602
Nurse Practitioner (Family)
130 FISHER RD UNIT 1
BERLIN, VT 05602
Internal Medicine
130 FISHER RD UNIT 1
BERLIN, VT 05602
Family Medicine
130 FISHER RD UNIT 1
BERLIN, VT 05602
Social Worker (Clinical)
130 FISHER RD UNIT 1
BERLIN, VT 05602
Pathology (Anatomic Pathology & Clinical Pathology)
130 FISHER RD UNIT 1
BERLIN, VT 05602
Advanced Practice Midwife
130 FISHER RD UNIT 1
BERLIN, VT 05602
Nurse Practitioner (Adult Health)
130 FISHER RD UNIT 1
BERLIN, VT 05602

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 Talat Raja's NPI number?

The NPI number for Talat Raja is 1649408220. It was assigned to this individual provider in the NPPES registry on June 23, 2009.

Where is Talat Raja located?

Talat Raja practices at 130 Fisher Rd Unit 1, Berlin, VT 05602. The listed phone number is (802) 371-4264.

What is Talat Raja's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Talat Raja enrolled in Medicare?

Yes. Talat Raja 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 organizations bill Medicare for Talat Raja's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Talat Raja reassigns Medicare benefits to 6 organizations: Central Vermont Medical Center Inc (Berlin, VT), Core Physicians, LLC (Exeter, NH), Vidant Medical Group LLC (Greenville, NC), University Medical Associates (Mt Pleasant, SC), Sound Physicians Of Illinois, LLC (Bridgeton, MO) and 1 more organization, listed in the Medicare section above. Each 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 Talat Raja's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Talat Raja accept?

Health plans from CHRISTUS Health Plan, First Choice Next and HMO Louisiana list Talat Raja 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.

Is Talat Raja affiliated with any hospitals?

According to CMS data, Talat Raja is affiliated with Univ. Of Vermont - Fletcher Allen Health Care.

When was this NPI record last updated?

The NPPES record for Talat Raja was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.