MR. ROY PHILIP RAJU PHYSICIAN ASSISTANT
NPI 1689900698
Physician Assistant in Bronx, NY

Active since October 26, 2009PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating

NPPES record last updated: October 26, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Roy Philip Raju Physician Assistant NPPES

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

MR. ROY PHILIP RAJU PHYSICIAN ASSISTANT (NPI 1689900698) is an individual physician assistant in Bronx, New York, licensed in New York (013538) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1689900698
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. ROY PHILIP RAJUCredential: PHYSICIAN ASSISTANT
Location Address4422 3RD AVEBronx, NY 10457-2545
Mailing Address61 Tenafly DrNew Hyde Park, NY 11040-3641 · (516) 467-6455
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 26, 2009
NPI 1689900698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 013538
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4422 3RD AVE, Bronx, NY 10457

Other Identifiers 1

MedicaidQK45267WNY

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

Mr. Roy Philip Raju Physician Assistant 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 ID5496911604
PECOS Enrollment IDI20120716000319
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

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 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.
39 services25 patients

Hospital Affiliations CMS Care Compare

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10457 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
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.

Emergency Medicine
4422 3RD AVE
BRONX, NY 10457
Pharmacist
4422 3RD AVE
BRONX, NY 10457
Dermatology
4422 3RD AVE
BRONX, NY 10457
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457
Advanced Practice Midwife
4422 3RD AVE
BRONX, NY 10457
Internal Medicine
4422 3RD AVE
BRONX, NY 10457
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457

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 Roy Raju's NPI number?

The NPI number for Roy Raju is 1689900698. It was assigned to this individual provider in the NPPES registry on October 26, 2009.

Where is Roy Raju located?

Roy Raju practices at 4422 3rd Ave, Bronx, NY 10457. The listed phone number is (718) 960-9000.

What is Roy Raju's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Roy Raju enrolled in Medicare?

Yes. Roy Raju 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.

Is Roy Raju affiliated with any hospitals?

According to CMS data, Roy Raju is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Roy Raju was last updated on October 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.