DR. HAROON M. RAJA MD
NPI 1710118229
Internal Medicine - Pulmonary Disease in Newark, DE

Active since July 31, 2009PECOS EnrolledAccepts Medicare Assignment
4745 OGLETOWN-STANTON ROAD, MAP 1, SUITE 220, NEWARK, DE 19713(302) 623-7600(302) 366-1240 Get Directions Write a Review

NPPES record last updated: June 11, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Haroon M. Raja Md NPPES

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

DR. HAROON M. RAJA MD (NPI 1710118229) is an individual pulmonary disease provider in Newark, Delaware, licensed in Delaware (C1-0011331) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Union Hospital Of Cecil County, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1710118229
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. HAROON M. RAJACredential: MD
Location Address4745 OGLETOWN-STANTON ROAD, MAP 1, SUITE 220Newark, DE 19713-2074
Mailing Address200 Hygeia Dr, Cchs Physician Contracting, Suite 2300Newark, DE 19713-2049
Fax(302) 366-1240
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 31, 2009
Last NPPES UpdateJune 11, 2015
NPI 1710118229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in DE · C1-0011331
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License C1-0011331 (DE)
4745 OGLETOWN-STANTON ROAD, Newark, DE 19713

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. Haroon M. Raja 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 ID7810115730
PECOS Enrollment IDI20150623001353, I20260211001703
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 22

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.

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.
283 services197 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
160 services153 patients
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.
115 services81 patients
Irrigation and suction of lung airways to obtain cells using an endoscope 31624
This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.
111 services108 patients
Biopsy of lobe of lung using an endoscope, 1 lobe 31628
A lung biopsy is a procedure where a small piece of lung tissue is taken for testing. An endoscope, a flexible tube with a light and camera, is used. It's inserted through the mouth or nose, down the windpipe, and into one lobe of the lung.
111 services110 patients
Exam of lung airways with diagnostic or therapeutic procedure on growths using an endoscope and ultrasound 31654
This procedure involves using a specialized instrument, called an endoscope, to examine the lung airways. An ultrasound is also used to get a clearer image of any growths. If necessary, the doctor can perform procedures to diagnose or treat these growths.
97 services95 patients

Hospital Affiliations CMS Care Compare

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

Union Hospital Of Cecil County

Acute Care Hospitals · Elkton, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210032
Location106 Bow StreetElkton, MD 21921 · Cecil County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier18 claims18 services$3.75 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier45 claims45 services$63.23 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier42 claims42 services$31.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Pediatrics (Neonatal-Perinatal Medicine)
4745 OGLETOWN-STANTON ROAD, SUITE 217 MEDICAL ARTS PAVILION ONE
NEWARK, DE 19713
Internal Medicine (Infectious Disease)
4745 OGLETOWN-STANTON ROAD, MEDICAL ARTS PAVILION ONE #138
NEWARK, DE 19713
Internal Medicine (Pulmonary Disease)
4745 OGLETOWN-STANTON ROAD, MAP 1, SUITE 220
NEWARK, DE 19713
Counselor (Mental Health)
4745 OGLETOWN-STANTON ROAD, SUITE 124 MEDICAL ARTS PAVILLION
NEWARK, DE 19713
Internal Medicine (Pulmonary Disease)
4745 OGLETOWN-STANTON ROAD, SUITE 220
NEWARK, DE 19713
Internal Medicine
4745 OGLETOWN-STANTON ROAD, MAP 1, SUITE 220
NEWARK, DE 19713

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 Haroon Raja's NPI number?

The NPI number for Haroon Raja is 1710118229. It was assigned to this individual provider in the NPPES registry on July 31, 2009.

Where is Haroon Raja located?

Haroon Raja practices at 4745 Ogletown-Stanton Road Map 1, Suite 220, Newark, DE 19713. The listed phone number is (302) 623-7600.

What is Haroon Raja's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Haroon Raja enrolled in Medicare?

Yes. Haroon 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.

What insurance does Haroon Raja accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Haroon 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 Haroon Raja affiliated with any hospitals?

According to CMS data, Haroon Raja is affiliated with Union Hospital Of Cecil County.

When was this NPI record last updated?

The NPPES record for Haroon Raja was last updated on June 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.