NAG RAJ BIRUDAVOL M.D.
NPI 1669429312
Emergency Medicine in Fredericksburg, VA

Q: What is Nag Raj Birudavol's NPI number?

The NPI number for Nag Raj Birudavol is 1669429312. It was assigned to this individual provider in the NPPES registry on May 28, 2006. The provider is also known as Dr. Raj Nag Birudavol M.D.

Q: What is Nag Raj Birudavol's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Nag Raj Birudavol was last updated on November 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 28, 2006PECOS EnrolledAccepts Medicare Assignment

4600 SPOTSYLVANIA PKWY, FREDERICKSBURG, VA 22408(540) 498-4901 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 22, 2023, Feb 10, 2016 (2 updates tracked since 2016).

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About Nag Raj Birudavol M.d. NPPES

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

NAG RAJ BIRUDAVOL M.D. (NPI 1669429312) is an individual emergency medicine provider in Fredericksburg, Virginia, licensed in Kentucky (58601) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of Other (1971).

NPPES Registry Identity

NPI1669429312

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameNAG RAJ BIRUDAVOLCredential: M.D.

Location Address4600 SPOTSYLVANIA PKWYFredericksburg, VA 22408-7762

Mailing Address3033 Wilson Blvd # E-565Arlington, VA 22201-3866 · (413) 426-3718

Phone(540) 498-4901

Sole ProprietorNo

Medical School CMSOtherGraduated 1971

Enumeration DateMay 28, 2006

Last NPPES UpdateNovember 22, 20232 updates tracked since enumeration

NPPES CertifiedNovember 22, 2023

✔ NPI 1669429312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in KY · 58601✔ Licensed in MA · 49484✔ Licensed in TX · R5365✔ Licensed in IN · 0107-4694A✔ Licensed in VA · 0101-034-785✔ Licensed in WV · 11997✔ Licensed in MD · D00-75072✔ Licensed in OH · 35-048539

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

4600 SPOTSYLVANIA PKWY, Fredericksburg, VA 22408

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Other Names 1

Professional Name (2)Dr. Raj Nag Birudavol M.d

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CareSource, Sendero Health Plans, Local Nonprofit.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

Nag Raj Birudavol 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 ID3577476415

PECOS Enrollment IDI20231110001602

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

Medicare enrollment records show Nag Raj Birudavol reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Summers Emergency Physicians LLC

188 mi

Emergency Medicine

SUMMERS COUNTY ARH HOSPITAL, 1500 TERRACE STREET
Hinton, WV 25951

Reassigned Medicare billing, West Virginia enrollment
35 clinicians in this Medicare group

NPI 1225243702 (304) 466-1000

Health Care Alliance, Inc.

203 mi

Emergency Medicine

105 S EISENHOWER DR
Beckley, WV 25801

Reassigned Medicare billing, West Virginia enrollment
183 clinicians in this Medicare group

NPI 1730128760 (304) 256-6600

Columbiana Emergency Physicians LLC

225 mi

Emergency Medicine

4000 JOHNSON RD
Steubenville, OH 43952

Reassigned Medicare billing, Ohio enrollment
98 clinicians in this Medicare group

NPI 1336618628 (740) 264-8000

Hles Of Ohio Inc

234 mi

Emergency Medicine

425 W 5TH ST
East Liverpool, OH 43920

Reassigned Medicare billing, Ohio enrollment
118 clinicians in this Medicare group

NPI 1487380770 (330) 385-7200

Ohio Emergency Professionals Inc

319 mi

Emergency Medicine

50 W BROAD ST
Columbus, OH 43215

Reassigned Medicare billing, Ohio enrollment
474 clinicians in this Medicare group

NPI 1982983425 (440) 887-4718

Southeastern Emergency Physicians LLC

344 mi

Emergency Medicine

989 MEDICAL PARK DR
Maysville, KY 41056

Reassigned Medicare billing, Kentucky enrollment
828 clinicians in this Medicare group

NPI 1356379382 (606) 759-5311

Emergency Coverage, LLC

350 mi

Family Medicine

435 2ND ST
Newport, TN 37821

Reassigned Medicare billing, Virginia enrollment
679 clinicians in this Medicare group

NPI 1427005008 (423) 625-2200

Indiana Emergency Professionals PC

404 mi

Emergency Medicine

600 WILSON CREEK RD
Lawrenceburg, IN 47025

Reassigned Medicare billing, Indiana enrollment
109 clinicians in this Medicare group

NPI 1598068017 (812) 537-1010

Cep America LLC

428 mi

Emergency Medicine

1373 E STATE ROAD 62
Madison, IN 47250

Reassigned Medicare billing, Indiana enrollment
598 clinicians in this Medicare group

NPI 1720850233 (812) 801-0800

Emergency Professionals Of Indiana, P.C.

457 mi

Emergency Medicine

7950 W JEFFERSON BLVD
Fort Wayne, IN 46804

Reassigned Medicare billing, Indiana enrollment
Medicare enrollment name: Emergency Professionals Of Indiana PC
404 clinicians in this Medicare group

NPI 1013951219 (260) 435-2699

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

141 services136 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

121 services116 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

46 services44 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

24 services24 patients

Hospital Affiliations CMS Care Compare

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

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180040

Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22408 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

SHERIDAN EMERGENCY PHYSICIAN SERVICES OF VIRGINIA, INC

Emergency Medicine