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RAJ SHIVAJI M.D.
NPI 1770508160
Internal Medicine in Florissant, MO

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
1225 GRAHAM RD, FLORISSANT, MO 63031(314) 953-6000 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Raj Shivaji M.d. NPPES

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

RAJ SHIVAJI M.D. (NPI 1770508160) is an individual internal medicine provider in Florissant, Missouri, licensed in Texas (T4849) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1770508160
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameRAJ SHIVAJICredential: M.D.
Location Address1225 GRAHAM RDFlorissant, MO 63031-8014
Mailing Address75 Remit Drive, Lockbox 6804Chicago, IL 60675-6804 · (866) 916-5259 · Fax (231) 922-4030
Phone(314) 953-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateJuly 13, 2006
Last NPPES UpdateSeptember 27, 2022
NPPES CertifiedSeptember 27, 2022
✔ NPI 1770508160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · T4849
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 036-097085 (IL), 111366 (MO), 62808 (NJ)
1225 GRAHAM RD, Florissant, MO 63031
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Other Identifiers 1

Medicaid204666937MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Raj Shivaji 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 ID1355330457
PECOS Enrollment IDI20220704000030
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

2

Medicare enrollment records show Raj Shivaji reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Our Urgent Care, LLC
29 mi
Urgent Care
1111 W PEARCE BLVD
Wentzville, MO 63385
  • Reassigned Medicare billing, Missouri enrollment
  • 46 clinicians in this Medicare group
NPI 1902815863 (252) 813-9104
Simcare, PLLC
701 mi
Internal Medicine
2225 WILLIAMS TRACE BLVD STE 110
Sugar Land, TX 77478
  • Reassigned Medicare billing, Texas enrollment
  • 8 clinicians in this Medicare group
NPI 1023508504 (281) 491-1911

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 7

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.
329 services88 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
60 services13 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
43 services43 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
37 services37 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
30 services29 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.
22 services16 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63031 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

MS. LAURA M GRAMOLINO FNP-C
Nurse Practitioner (Family)
1225 GRAHAM RD
FLORISSANT, MO 63031
St. Louis County (314) 953-6994
REBECCA V RUGEN
Internal Medicine
1225 GRAHAM RD, STE 2320C
FLORISSANT, MO 63031
St. Louis County (314) 953-6801
PHYSICIAN GROUPS LC
Clinic/Center (Primary Care)
1225 GRAHAM RD, SUITE 220
FLORISSANT, MO 63031
St. Louis County (314) 838-6700
MAURICE EDWARD JONES
Community Health Worker
1225 GRAHAM RD
FLORISSANT, MO 63031
St. Louis County (314) 206-3900
MS. JAVDA MIASHA WILSON FNP
Nurse Practitioner
1225 GRAHAM RD, DEPT EMERGENCY MEDICINE
FLORISSANT, MO 63031
St. Louis County (314) 362-9123
LISA KEATING BURRIS PA
Student in an Organized Health Care Education/Training Program
1225 GRAHAM RD
FLORISSANT, MO 63031
St. Louis County (314) 953-6000
MS. ALISSA LEIGH STRUBLE FNP
Nurse Practitioner
1225 GRAHAM RD, DEPT EMERGENCY MEDICINE
FLORISSANT, MO 63031
St. Louis County (314) 362-9123
DORIS J TRIBUNE BROWN DO
Family Medicine
1225 GRAHAM RD, SUITE 2320C
FLORISSANT, MO 63031
St. Louis County (314) 831-6883

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 Raj Shivaji's NPI number?

The NPI number for Raj Shivaji is 1770508160. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Raj Shivaji located?

Raj Shivaji practices at 1225 Graham Rd, Florissant, MO 63031. The listed phone number is (314) 953-6000.

What is Raj Shivaji's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Raj Shivaji enrolled in Medicare?

Yes. Raj Shivaji 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.

Which organizations bill Medicare for Raj Shivaji's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raj Shivaji reassigns Medicare benefits to 2 organizations: Our Urgent Care, LLC (Wentzville, MO) and Simcare, PLLC (Sugar Land, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raj Shivaji's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raj Shivaji accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Raj Shivaji 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 Raj Shivaji affiliated with any hospitals?

According to CMS data, Raj Shivaji is affiliated with Memorial Hermann Hospital System.

When was this NPI record last updated?

The NPPES record for Raj Shivaji was last updated on September 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.