DR. RAJNI SINHA M.D.
NPI 1740496850
Internal Medicine - Hematology & Oncology in Atlanta, GA

Active since May 15, 2007PECOS Enrolled
98.4/100
CMS Quality Rating
1800 HOWELL MILL RD NW STE 800, ATLANTA, GA 30318(404) 350-9853(404) 350-8407 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2020, Jul 7, 2017 (2 updates tracked since 2017).

About Dr. Rajni Sinha M.d. NPPES

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

DR. RAJNI SINHA M.D. (NPI 1740496850) is an individual hematology & oncology provider in Atlanta, Georgia, licensed in Georgia (55301) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1740496850
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDR. RAJNI SINHACredential: M.D.
Location Address1800 HOWELL MILL RD NW STE 800Atlanta, GA 30318-0922
Mailing Address1800 Howell Mill Rd Nw Ste 800Atlanta, GA 30318-0922 · (404) 350-9853 · Fax (404) 477-1162
Fax(404) 350-8407
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMay 15, 2007
Last NPPES UpdateMay 11, 20202 updates tracked since enumeration
NPPES CertifiedMay 11, 2020
NPI 1740496850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in GA · 55301
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1800 HOWELL MILL RD NW STE 800, Atlanta, GA 30318

Secondary Practice Locations 3

Location 11240 Eagles Landing Pkwy Ste 260Stockbridge, GA 30281-5173 · Phone (678) 854-9500 · Fax (678) 854-9502
Location 2775 Poplar Rd Ste 310Newnan, GA 30265-8303 · Phone (770) 251-2590 · Fax (770) 251-1490
Location 31267 Highway 54 W Ste 4200Fayetteville, GA 30214-2112 · Phone (678) 829-1060 · Fax (678) 829-1099

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 (PECOS)

Dr. Rajni Sinha M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123129319
PECOS Enrollment IDI20070718000125
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 23

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, 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.
4,260 services15 patients
Injection, ferric derisomaltose, 10 mg J1437
Ferric derisomaltose is an iron replacement product. It's given as an injection to treat iron deficiency anemia, a condition where the body lacks enough iron. The injection helps increase iron in your body to healthy levels.
1,800 services17 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
622 services270 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
498 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
424 services281 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.
337 services160 patients

Hospital Affiliations CMS Care Compare 4

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

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Piedmont Mountainside Hospital Inc

Acute Care Hospitals · Jasper, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110225
Location1266 Highway 515 SouthJasper, GA 30143 · Pickens County
Birthing friendly

Piedmont Newnan Hospital, Inc

Acute Care Hospitals · Newnan, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110229
Location745 Poplar RoadNewnan, GA 30265 · Coweta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30318 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
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

98.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability96
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%369 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
97%3,008 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%513 patients4/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified
96%978 patients4/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
69%3,008 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
69%344 patients4/55-star benchmark: 90%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 608 patients
Patients tobacco: 99% · 608 patients
85%27 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
20%1,015 patients1/55-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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers16 claims1,476 services$0.72 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers15 claims15 services$17.65 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 14

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

Internal Medicine (Hematology & Oncology)
1800 HOWELL MILL RD NW STE 800
ATLANTA, GA 30318
Physician Assistant (Medical)
1800 HOWELL MILL RD NW STE 800
ATLANTA, GA 30318
Internal Medicine (Hematology & Oncology)
1800 HOWELL MILL RD NW STE 800
ATLANTA, GA 30318
Internal Medicine (Hematology & Oncology)
1800 HOWELL MILL RD NW STE 800
ATLANTA, GA 30318
Internal Medicine (Hematology & Oncology)
1800 HOWELL MILL RD NW STE 800
ATLANTA, GA 30318
Registered Nurse (Oncology)
1800 HOWELL MILL RD NW STE 800
ATLANTA, GA 30318
Internal Medicine (Hematology & Oncology)
1800 HOWELL MILL RD NW STE 800
ATLANTA, GA 30318
Internal Medicine (Hematology & Oncology)
1800 HOWELL MILL RD NW STE 800
ATLANTA, GA 30318

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 Rajni Sinha's NPI number?

The NPI number for Rajni Sinha is 1740496850. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Rajni Sinha located?

Rajni Sinha practices at 1800 Howell Mill Rd NW Ste 800, Atlanta, GA 30318. The listed phone number is (404) 350-9853.

What is Rajni Sinha's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Rajni Sinha enrolled in Medicare?

Yes. Rajni Sinha is registered in the Medicare PECOS enrollment system.

What insurance does Rajni Sinha accept?

Health plans from Alliant Health Plans, Inc. list Rajni Sinha 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 Rajni Sinha affiliated with any hospitals?

According to CMS data, Rajni Sinha is affiliated with Piedmont Hospital, Northside Hospital, Piedmont Mountainside Hospital Inc and Piedmont Newnan Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Rajni Sinha was last updated on May 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.