1. Home
  2. Directory
  3. New Jersey
  4. Phillipsburg
  5. Internal Medicine
  6. NPI Profile

POOJA RAJU M.D.
NPI 1760626774
Internal Medicine - Pulmonary Disease in Phillipsburg, NJ

Active since April 22, 2009PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
123B ROSEBERRY ST, PHILLIPSBURG, NJ 08865(908) 213-3433(908) 213-3647 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2024, Sep 26, 2016 (2 updates tracked since 2016).

About Pooja Raju M.d. NPPES

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

POOJA RAJU M.D. (NPI 1760626774) is an individual pulmonary disease provider in Phillipsburg, New Jersey, licensed in New Jersey (25MA08570000) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, is affiliated with Raritan Bay Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1760626774
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NamePOOJA RAJUCredential: M.D.
Location Address123B ROSEBERRY STPhillipsburg, NJ 08865-1629
Mailing Address123b Roseberry StPhillipsburg, NJ 08865-1629 · (908) 213-3433 · Fax (908) 213-3647
Phone(908) 213-3433
Fax(908) 213-3647
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateApril 22, 2009
Last NPPES UpdateApril 8, 20242 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
✔ NPI 1760626774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in NJ · 25MA08570000
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 MedicineTaxonomy 207R00000X · License 25MA08570000 (NJ)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 25MA08570000 (NJ)
123B ROSEBERRY ST, Phillipsburg, NJ 08865
Open in Google Maps ↗

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

Pooja Raju 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 ID9234330754
PECOS Enrollment IDI20140725000835
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 6

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.
123 services63 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.
33 services23 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
24 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 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.
18 services18 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310039
Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County
Emergency services Birthing friendly

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Bayshore Medical Center

Acute Care Hospitals · Holmdel, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310112
Location727 N Beers StHolmdel, NJ 07733 · Monmouth County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08865 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 16

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
10 suppliers48 claims48 services$29.90 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
10 suppliers46 claims46 services$69.53 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers46 claims127 services$27.53 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers14 claims83 services$13.44 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers12 claims68 services$13.00 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
9 suppliers37 claims37 services$41.88 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 5

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

ST. LUKE'S WARREN PHYSICIAN GROUP, PC
Internal Medicine (Sleep Medicine)
123B ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Warren County (908) 847-8853
ST. LUKE'S WARREN PHYSICIAN GROUP, PC
Internal Medicine (Pulmonary Disease)
123B ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Warren County (908) 213-3433
ST. LUKE'S WARREN PHYSICIAN GROUP, PC
Internal Medicine (Infectious Disease)
123B ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Warren County (484) 526-6200
MICHAEL G NEKORANIK DO
Internal Medicine (Pulmonary Disease)
123B ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Warren County (908) 213-3433
ST. LUKE'S WARREN PHYSICIAN GROUP, PC
Pediatrics (Pediatric Pulmonology)
123B ROSEBERRY ST
PHILLIPSBURG, NJ 08865
Warren County (484) 503-0235

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 Pooja Raju's NPI number?

The NPI number for Pooja Raju is 1760626774. It was assigned to this individual provider in the NPPES registry on April 22, 2009.

Where is Pooja Raju located?

Pooja Raju practices at 123B Roseberry St, Phillipsburg, NJ 08865. The listed phone number is (908) 213-3433.

What is Pooja Raju's specialty?

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

Is Pooja Raju enrolled in Medicare?

Yes. Pooja 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 Pooja Raju affiliated with any hospitals?

According to CMS data, Pooja Raju is affiliated with Raritan Bay Medical Center, Cooperman Barnabas Medical Center, Jfk Medical Center and Bayshore Medical Center.

When was this NPI record last updated?

The NPPES record for Pooja Raju was last updated on April 8, 2024. 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.